DAYBREAK TREATMENT CARE, LLC (NPI# 1699809384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699809384 |
| Entity Type | Organization |
| Organization Name | DAYBREAK TREATMENT CARE, LLC |
| Other Organization Name | DAYBREAK TREATMENT CARE PROGRAM II |
| Practice Address |
258-68 Pinedge Dr. West Berlin NJ 08091 |
| Mailing Address |
P.o. Box 2136 Ocean NJ 07712 |
| Practice Telephone | 8567538111 |
| Practice Fax Number | 8567533339 |
| Mailing Telephone | 7329220591 |
| Mailing Fax Number | 7329220593 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2011-02-14 |
| Authorized Official Name | MR. JEFFREY I. GOLDSTEIN (CEO) |
| Authorized Official Telephone | 7322458473 |
| Authorized Official Credential | JD, MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | DAYBREAK TREATMENT CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
10020-02-05 | NJ | Ambulatory Health Care Facilities |
| Y | 261Q00000X | Clinic/Center | 10020-03-05 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0034771 | 05 |
| Other Name | Type Code |
|---|---|
| Daybreak Treatment Care Program II | Doing Business As Name - Organization |
| Street Address |
258-68 PINEDGE DR. |
| City | WEST BERLIN |
| State | NJ |
| Zip Code | 08091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496179 | Daniel Deitz | Physical Therapist | 115 Nj-73, #80, West Berlin, NJ 08091 | 2020-10-27 |
| 1497393094 | Corinne Leigh Rieser | Physician Assistant | 301 Route 73 North, West Berlin, NJ 08091 | 2019-12-13 |
| 1174184584 | Carlotta Barbon | Student in an Organized Health Care Education/Training Program | Raemistrasse 100, Zuerich, SWITZERLAND 08091 | 2019-06-26 |
| 1760865976 | Sarah Beggs | Dermatology | 301 Route 73 N, West Berlin, NJ 08091 | 2015-07-07 |
| 1780873083 | Pro-fit LLC | Prosthetic/Orthotic Supplier | 215 Edgewood Ave, West Berlin, NJ 08091 | 2007-10-23 |
| 1538243936 | Wal-mart Stores East, Lp | Technician/Technologist | 265 North Route 73, Berlin, NJ 08091 | 2006-10-24 |
| 1457452229 | Thrift Drug Inc | Durable Medical Equipment & Medical Supplies | 200 Route 73 North, Suite 16, West Berlin, NJ 08091 | 2006-09-26 |
| 1326018805 | Mary Jeanne Spinosi | Family Medicine | 301 N Route 73, West Berlin, NJ 08091 | 2006-01-25 |
| 1578920260 | Edward A Tanski Jr. | Dentist | 162 Haddon Ave, West Berlin, NJ 08091 | 2016-01-26 |
| 1831361534 | Board of Education Berlin Township | Local Education Agency (LEA) | 225 Grove Ave, West Berlin, NJ 08091-1226 | 2008-04-02 |
| Find all providers in zip 08091 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1194354407 | Recover Physical Therapy | Clinic/Center | 1501 Old Black Horse Pike Apt F9, Blackwood, NJ 08012-4927 | 2020-04-07 |
| 1154950657 | Real House Inc. | Clinic/Center | 1089-91 East Jersey Street, Elizabeth, NJ 07201 | 2020-04-06 |
| 1205464823 | Fulcrum Performance Lab, LLC | Clinic/Center | 75 S Maple Ave, Marlton, NJ 08053-2032 | 2020-03-30 |
| 1215563887 | Dr Cloyd's Clinical Psychology and Neuropsychology Practice Pllc | Clinic/Center | 1209 Route 70 W, Cherry Hill, NJ 08002-3532 | 2020-03-16 |
| 1144860271 | Sentarus Healthcare Solutions Inc | Clinic/Center | 736 S White Horse Pike, Audubon, NJ 08106-1346 | 2020-01-07 |
| 1497303044 | Sanni Ojibara Training Academy | Clinic/Center | 104 Hillside Ter, Irvington, NJ 07111-1514 | 2019-08-27 |
| 1457907404 | Vitality Wellness Group LLC | Clinic/Center | 1000 Sanger Ave Ste 211, Oceanport, NJ 07757-1241 | 2019-08-15 |
| 1760034292 | Optimally Nourished LLC | Clinic/Center | 303 Belmont Ave Ste 2, Belleville, NJ 07109-1103 | 2019-07-15 |
| 1881246676 | Acenda, Inc. | Clinic/Center | 1129 Route 9 S, Cape May Court House, NJ 08210-2752 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
| City | WEST BERLIN |
| Zip Code | 08091 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.