DAYBREAK, INC. (NPI# 1790963908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790963908 |
| Entity Type | Organization |
| Organization Name | DAYBREAK, INC. |
| Other Organization Name | AMICUS AT WOODSIDE |
| Practice Address |
2213 Woodside Dr Grand Prairie TX 75052-4719 |
| Mailing Address |
4800 Overton Plz Ste 440 Ft Worth TX 76109-4435 |
| Practice Telephone | 9729889336 |
| Mailing Telephone | 8174472700 |
| Mailing Fax Number | 8174473033 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | ROBERT WOLIN (ATTORNEY) |
| Authorized Official Telephone | 7136461327 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 001012225 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001012225 | 05 |
| Other Name | Type Code |
|---|---|
| Amicus at Woodside | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446000 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 6520 Braddock Pl, Dallas, TX 75232-2902 | 2020-10-30 |
| 1053951772 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 1809 Auburn Dr, Richardson, TX 75081-3123 | 2020-01-10 |
| 1124668850 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 2100 Cedar Cir, Carrollton, TX 75006-1922 | 2020-01-10 |
| 1295375913 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 974 E Cedar St, Seguin, TX 78155-3844 | 2020-01-10 |
| 1033759758 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 4801 Bermuda Dr, San Angelo, TX 76904-7204 | 2020-01-10 |
| 1487294104 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 3217 Clearview Dr, San Angelo, TX 76904-7356 | 2020-01-10 |
| 1962042697 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 2321 Greenmeadow Dr, Carrollton, TX 75006-1630 | 2020-01-10 |
| 1053951764 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 3221 Southland Blvd, San Angelo, TX 76904-7331 | 2020-01-10 |
| 1598305435 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 5814 6th St, Lubbock, TX 79416-4116 | 2020-01-08 |
| 1962042895 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 3419 54th St, Lubbock, TX 79413-4049 | 2020-01-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | DAYBREAK, INC | 186 Sw Ring Court, Lake City, FL 32025 |
| Oregon Corporations, Companies and Business Names | DAYBREAK, INC A CORPORATION IN THE STATE OF FLORIDA | 186 Sw Ring Court, Lake City, FL 32025 |
| System for Award Management (SAM) Entities | DAYBREAK, INCORPORATED | 550 S Alaska St Ste 202, Palmer, AK 99645-6372 |
| Massachusetts Corporations | DAYBREAK, INCORPORATED | 120 Lincoln Street, Boston, MA 02111 |
| Street Address |
2213 WOODSIDE DR |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75052-4719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265542 | Beyond Home Health Care LLC | Registered Nurse | 3531 Pecos Way, Grand Prairie, TX 75052 | 2020-08-12 |
| 1497370332 | Michael Cooper | Dentist | 3154 South Hwy 161 Ste 640, Grand Prairie, TX 75052 | 2020-06-16 |
| 1043835788 | Amanda Azubike | Licensed Practical Nurse | 4593 Mt Laurel Dr, Grand Prairie, TX 75052 | 2020-06-09 |
| 1457992844 | Epic West Family Dnetistry Pllc | Dentist | 3166 Sh 161, Ste 190, Grand Prairie, TX 75052 | 2019-10-07 |
| 1033777487 | National Vision Inc | Optometrist | 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 | 2019-05-31 |
| 1689136624 | Raushanah Taherrah Shareef-jefferson | Dental Hygienist | 831 Ridgecrest Rd, Grand Prairie, TX 75052 | 2019-04-01 |
| 1053812552 | Dfw Better Care Physicians, Pllc | Clinic/Center | 5204 Tx 360 #400, Grand Prairie, TX 75052 | 2018-02-21 |
| 1629586797 | Grand Prairie Marvel Dental Pllc | Clinic/Center | 5020 S Hwy 360, Suite 200, Grand Prairie, TX 75052 | 2018-01-11 |
| 1033626221 | Thad Taylor Iv Dds | Dentist | 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 | 2018-01-09 |
| 1902312796 | Real Dental Pllc | Dentist | 1215 W. Pioneer Pkwy, Suite 130, Grand Prairie, TX 75052 | 2017-12-16 |
| Find all providers in zip 75052 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083150346 | Heavenly Hands Health Services | Intermediate Care Facility, Mentally Retarded | 7051 Flamencia, Grand Prairie, TX 75054-5561 | 2017-01-11 |
| 1720496409 | Shalom Coker 24 Hours Special Needs Daycare | Intermediate Care Facility, Mentally Retarded | 3103 Gregory Ln, Grand Prairie, TX 75052-5742 | 2014-07-25 |
| 1386974723 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 4925 Embers Trl, Grand Prairie, TX 75052-1911 | 2010-01-07 |
| 1689904286 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 4333 Coventry Dr, Grand Prairie, TX 75052-4100 | 2010-01-04 |
| 1932242195 | Brown Consultants and Assoc | Intermediate Care Facility, Mentally Retarded | 101 Sw Dallas St, Grand Prairie, TX 75051-1735 | 2007-02-15 |
| 1124179296 | Calab Inc | Intermediate Care Facility, Mentally Retarded | 3502 Glenda Dr, Grand Prairie, TX 75052-6425 | 2007-01-16 |
| 1710037411 | Calab Inc | Intermediate Care Facility, Mentally Retarded | 1102 Fort Scott Trl, Grand Prairie, TX 75052-2110 | 2007-01-12 |
| 1811126824 | Abundance Medical Solutions | Intermediate Care Facility, Mentally Retarded | 7311 Gallo, Grand Prairie, TX 75054-6705 | 2009-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639271 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3323 Gail Ln, Tyler, TX 75701-7425 | 2020-11-05 |
| 1952902900 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2500 Terry Pl, Greenville, TX 75402-7131 | 2020-11-05 |
| 1811598865 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 100 Patti J St, Greenville, TX 75402-8053 | 2020-11-05 |
| 1124629175 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2616 Pounds Ave, Tyler, TX 75701-5627 | 2020-11-05 |
| 1568063527 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2525 Preston Ave, Tyler, TX 75701-4644 | 2020-11-05 |
| 1104427509 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 2812 Shaffer Ln, Tyler, TX 75702-1653 | 2020-11-03 |
| 1265033658 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3506 Garber Cir, Greenville, TX 75402-6234 | 2020-11-03 |
| 1487255873 | St. Giles Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 3600 New Copeland Rd, Tyler, TX 75701-8839 | 2020-11-03 |
| 1306446000 | Daybreak, Inc. | Intermediate Care Facility, Mentally Retarded | 6520 Braddock Pl, Dallas, TX 75232-2902 | 2020-10-30 |
| 1578179750 | Keondra C Johnson | Intermediate Care Facility, Mentally Retarded | 2140 Medical District Dr Apt 2052, Dallas, TX 75235-8097 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75052 |
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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.