NPI Code Details Logo

NPI 1528971355

NPI 1528971355 : A BREAKTHROUGH HEALTHCARE SERVICES : ANNANDALE, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1528971355
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    A BREAKTHROUGH HEALTHCARE SERVICES 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/23/2026
-----------------------------------------------------
    Last Update Date     |    09/23/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7630 LITTLE RIVER TPKE STE 7205 
-----------------------------------------------------
    City                 |    ANNANDALE
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    22003-2643
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    571-342-6262
-----------------------------------------------------
    Fax                  |    571-450-0877
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    11510 SUTHERLAND HILL WAY 
-----------------------------------------------------
    City                 |    SILVER SPRING
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20904-4206
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    571-342-6262
-----------------------------------------------------
    Fax                  |    571-450-0877
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    ADMINISTRATOR/DIRECTOR OF NURSING
-----------------------------------------------------
    Name                 |     LIYA AREGA AYANA 
-----------------------------------------------------
    Credential           |    RN
-----------------------------------------------------
    Telephone            |    301-326-8958
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    163W00000X
-----------------------------------------------------
    Taxonomy Name        |    Registered Nurse
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.