OrganizationActive
Breakaway, Inc
NPI 1700055209 · Customized Equipment (DME) · Garden City, ID
Breakaway, Inc is a Customized Equipment (DME) organization in Garden City, ID (NPI 1700055209).
Provider details
- NPI number
- 1700055209
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Carol Elliott, Vice-President(208) 342-4506
- License
- 047307 (ID)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
106 E 39th St
Garden City, ID 83714-6440
Phone: (208) 342-4506
Fax: (208) 342-4507
Street-level locationGet directions
Mailing address
Po Box 1593
Boise, ID 83701-1593
Registry dates
- Enumerated
- 2008-02-28
- Last updated
- 2011-11-30
Frequently asked questions
- What is Breakaway, Inc's NPI number?
- Breakaway, Inc's National Provider Identifier (NPI) is 1700055209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Breakaway, Inc?
- Breakaway, Inc is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is Breakaway, Inc located?
- Breakaway, Inc's practice location on file with NPPES is 106 E 39th St, Garden City, ID 83714-6440.
- What is Breakaway, Inc's phone number?
- The practice phone number listed in the NPPES registry for Breakaway, Inc is (208) 342-4506.
- Who is the authorized official for Breakaway, Inc?
- The authorized official listed on Breakaway, Inc's NPPES record is Carol Elliott, Vice-President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Breakaway, Inc's NPI active?
- Yes — Breakaway, Inc's NPI (1700055209) is active in the NPPES registry as of the last update on 2011-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.