Provider Demographics
NPI:1093542201
Name:BREAKTHROUGH HEALTHCARE LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:BREAKTHROUGH HEALTHCARE LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERS
Authorized Official - Prefix:
Authorized Official - First Name:SHANEKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDSAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-649-5586
Mailing Address - Street 1:11862 LACKLAND RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-4206
Mailing Address - Country:US
Mailing Address - Phone:314-649-5586
Mailing Address - Fax:866-203-2364
Practice Address - Street 1:11862 LACKLAND RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-4206
Practice Address - Country:US
Practice Address - Phone:314-649-5586
Practice Address - Fax:866-203-2364
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BREAKTHROUGH HEALTHCARE LIMITED LIABILITY COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-19
Last Update Date:2025-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty