Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Breakaway, Inc

Customized Equipment (DME) in Garden City, ID · enumerated 2008 · authorized official Carol Elliott, Vice-President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700055209

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Breakaway, Inc

Practice address 106 E 39th St, Garden City, ID, 83714

Phone (208) 342-4506

Fax (208) 342-4507

Enumeration date Feb 28, 2008

Last updated in NPPES Nov 30, 2011

Taxonomy & classification

332BC3200X Customized Equipment (DME) Suppliers · License 047307 (ID) Primary

Authorized official

Name Carol Elliott

Title Vice-President

Phone (208) 342-4506

Other identifiers

Identifier	Type	State	Issuer
8061158	Medicaid	ID	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-11-30. Verify at npiregistry.cms.hhs.gov.

Where is Breakaway, Inc located?

The practice location on file with NPPES is in Garden City, ID.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-30.