BREAKTHROUGH COMMUNITY DEVELOPMENT CORPORATION
NPI 1376200428
Community/Behavioral Health in Annapolis, MD

Active since November 23, 2021CLIA 21D2255336 · Waiver
1831 FOREST DR STE G, ANNAPOLIS, MD 21401(443) 221-7447 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breakthrough Community Development Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREAKTHROUGH COMMUNITY DEVELOPMENT CORPORATION (NPI 1376200428) is a healthcare organization registered as a community/behavioral health in Annapolis, Maryland and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Hawanya T Jerry, Biller, as its authorized official.

NPPES Registry Identity

NPI1376200428
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBREAKTHROUGH COMMUNITY DEVELOPMENT CORPORATION
Location Address1831 FOREST DR STE GAnnapolis, MD 21401-4430
Mailing Address1831 Forest Dr Ste GAnnapolis, MD 21401-4430 · (443) 221-7447
Organization SubpartNo
Authorized OfficialHawanya T JerryBiller · (443) 221-7447
Enumeration DateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
NPI 1376200428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1831 FOREST DR STE G, Annapolis, MD 21401

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2255336

Breakthrough Community Development Corporation · Annapolis, MD
Active · expires Mar 13, 2028
CLIA Number21D2255336
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorNkiru Ezeani
Laboratory Phone(443) 221-7447
Laboratory LocationBreakthrough Community Development Corporation1831 Forest Drive, Suite G, Annapolis, MD 21401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1831 FOREST DR STE G
ANNAPOLIS, MD 21401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breakthrough Community Development Corporation's NPI number?

The NPI number for Breakthrough Community Development Corporation is 1376200428. It was assigned to this organization in the NPPES registry on November 23, 2021.

Where is Breakthrough Community Development Corporation located?

Breakthrough Community Development Corporation is located at 1831 Forest Dr Ste G, Annapolis, MD 21401. The listed phone number is (443) 221-7447.

What is Breakthrough Community Development Corporation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Breakthrough Community Development Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2255336) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Breakthrough Community Development Corporation was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.