Provider Demographics
NPI:1932937638
Name:BREAKING CHAINS FOUNDATION INC.
Entity type:Organization
Organization Name:BREAKING CHAINS FOUNDATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, CEO, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SABELLA
Authorized Official - Middle Name:ELAINA
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:813-659-7007
Mailing Address - Street 1:PO BOX 495
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-0495
Mailing Address - Country:US
Mailing Address - Phone:941-777-4271
Mailing Address - Fax:
Practice Address - Street 1:9133 ROYAL RIVER CIR
Practice Address - Street 2:
Practice Address - City:PARRISH
Practice Address - State:FL
Practice Address - Zip Code:34219-3223
Practice Address - Country:US
Practice Address - Phone:813-659-7007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No405300000XOther Service ProvidersPrevention ProfessionalGroup - Multi-Specialty