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DAYBREAK INC. NPI 1548800485


NPI Information

NPI: 1548800485
Provider Name: DAYBREAK, INC.

Doing Business As: SIERRA HOUSE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 45D2209866

Address:
3026 SIERRA DR
SAN ANGELO, TX
ZIP 76904
Phone: (877) 659-3108
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DAYBREAK, INC. is an intermediate care facility mentally retarded in San Angelo, TX. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. DAYBREAK, INC. NPI is 1548800485. The provider is registered as an organization entity type.
The provider Is Doing Business As Sierra House.

The provider's business location address is:

3026 SIERRA DR
SAN ANGELO, TX
ZIP 76904-932
Phone: (877) 659-3108
Fax: (325) 657-9237

The provider's authorized official is Heather Thistle .
The authorized official title is Chief Compliance Officer and has the following contact phone number (774) 272-3604.

The CLIA number assigned to this NPI record is 45D2209866 - other - hcs facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2020 and was last updated on 3/15/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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