THE BREAKAWAY CORP (NPI# 1457819195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457819195 |
| Entity Type | Organization |
| Organization Name | THE BREAKAWAY CORP |
| Practice Address |
1514 E Spring St New Albany IN 47150-2844 |
| Practice Telephone | 8129414177 |
| Mailing Telephone | 8129414177 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Authorized Official Name | MICHELLE M COCHRAN (BOARD MEMBER) |
| Authorized Official Telephone | 5026647987 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
1514 E SPRING ST |
| City | NEW ALBANY |
| State | IN |
| Zip Code | 47150-2844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385050 | Essential Pediatrics | Physical Therapist | 1614 Slate Run Road, New Albany, IN 47150 | 2020-01-10 |
| 1871075234 | Katie Lyn Vincent | Speech-Language Pathologist | 845 Park Place, New Albany, IN 47150 | 2018-09-02 |
| 1326528811 | Donna Casey Laduke | Respiratory Therapist, Registered | Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 | 2018-08-15 |
| 1003307232 | Shelby Paige Buffin | Social Worker | 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 | 2018-05-23 |
| 1104315902 | Whitney Nicole Malloy | Physician Assistant | 2108 State Street, New Albany, IN 47150 | 2018-05-07 |
| 1942728472 | Cleanse Clinic Jeffersonville LLC | Psychiatry & Neurology | 2818 Grant Line Rd Ste 2, New Albany, IN 47150 | 2017-09-05 |
| 1881110765 | Kristy Marie Delaney | Social Worker | 1144 Creekview Circle, New Albany, IN 47150 | 2017-08-22 |
| 1891217030 | Sarah H. Wilson | Physician Assistant | 1919 State St Ste 362, New Albany, IN 47150 | 2017-07-10 |
| 1861939290 | Lauren Brenneman Pollock | Audiologist | 3211 Grant Line Rd St. #37, New Albany, IN 47150 | 2017-01-24 |
| 1861850414 | Kiley Madaleno | Speech-Language Pathologist | 4915 Charlestown Road, New Albany, IN 47150 | 2016-02-10 |
| Find all providers in zip 47150 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
| 1992304836 | Oasis Recovery, LLC | Substance Abuse Rehabilitation Facility | 2155 N 100 E, Tipton, IN 46072-8490 | 2020-10-21 |
| 1699302356 | Evolve Indy LLC | Substance Abuse Rehabilitation Facility | 8770 Guion Rd Ste B, Indianapolis, IN 46268-3017 | 2020-03-24 |
| 1366082091 | Celtic Recovery, LLC | Substance Abuse Rehabilitation Facility | 5660 Madison Ave, Indianapolis, IN 46227-4671 | 2020-01-10 |
| 1508408378 | Allendale LLC | Substance Abuse Rehabilitation Facility | 5419 County Road 427, Auburn, IN 46706-9504 | 2019-10-14 |
| 1154979615 | Pax Riverbend LLC | Substance Abuse Rehabilitation Facility | 1403 Spring St Ste 1, Jeffersonville, IN 47130-3736 | 2019-08-28 |
| 1578121547 | Landmark Recovery of Carmel, LLC | Substance Abuse Rehabilitation Facility | 13594 N Meridian St, Carmel, IN 46032-1698 | 2019-06-04 |
| 1881157329 | Grace Recovery and Wellness LLC | Substance Abuse Rehabilitation Facility | 3320 Main St Ste D, Anderson, IN 46013-4267 | 2019-04-11 |
| 1679035232 | Summit Bhc Henryvillle | Substance Abuse Rehabilitation Facility | 2602 Hebron Church Rd, Henryville, IN 47126-9021 | 2019-04-03 |
| 1669938528 | Trinity Chapel Incorporated | Substance Abuse Rehabilitation Facility | 4448 N Us Highway 52, Thorntown, IN 46071-9289 | 2019-02-15 |
| Find all providers with the same taxonomy | ||||
| City | NEW ALBANY |
| Zip Code | 47150 |
Please comment or provide details below to improve the information on THE BREAKAWAY CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.