Daybreak, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

DAYBREAK, INC.

Doing business as

Devonshire Home

Practice address

1225 Devonshire Dr
Desoto, TX 75115-3757

Phone

(800) 299-5161

Fax

(817) 447-3033

NPI assigned

Sep 21, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathryn Penkala

Title

Director of Credentialing

Phone

(817) 289-8450

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Devonshire Home Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 45H312

Legal name

DEVONSHIRE HOME

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Feb 3, 2010

Last certification

Jan 16, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

1225 Devonshire Drive
Desoto, TX 75115

Tax ID family

Daybreak Inc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

• Daybreak, Inc.

  dba 4801 Bermuda Dr

  • Intellectual Disabilities Intermediate Care Facility
  • San Angelo, TX
  • NPI 1033759758
  NPD tax ID
• Daybreak, Inc.

  dba 3221 Southland Blvd

  • Intellectual Disabilities Intermediate Care Facility
  • San Angelo, TX
  • NPI 1053951764
  NPD tax ID
• Daybreak, Inc.

  dba 1809 Auburn

  • Intellectual Disabilities Intermediate Care Facility
  • Richardson, TX
  • NPI 1053951772
  NPD tax ID
• Daybreak, Inc.

  dba Prairie Creek

  • Intellectual Disabilities Intermediate Care Facility
  • Desoto, TX
  • NPI 1073714507
  NPD tax ID
• Daybreak, Inc.

  dba Daybreak

  • Intellectual Disabilities Intermediate Care Facility
  • Desoto, TX
  • NPI 1104036771
  NPD tax ID
• Daybreak, Inc.

  dba 2100 Cedar

  • Intellectual Disabilities Intermediate Care Facility
  • Carrollton, TX
  • NPI 1124668850
  NPD tax ID
• Daybreak, Inc.

  dba 1509 Versailles

  • Intellectual Disabilities Intermediate Care Facility
  • Richardson, TX
  • NPI 1245870161
  NPD tax ID
• Daybreak, Inc.

  dba Amicus at Rifleman

  • Intellectual Disabilities Intermediate Care Facility
  • Arlington, TX
  • NPI 1255519468
  NPD tax ID
• Daybreak, Inc.

  dba Amicus at Xavier

  • Intellectual Disabilities Intermediate Care Facility
  • Arlington, TX
  • NPI 1275640666
  NPD tax ID
• Daybreak, Inc.

  dba 2742 Palo Duro Dr

  • Intellectual Disabilities Intermediate Care Facility
  • San Angelo, TX
  • NPI 1285274126
  NPD tax ID
• Daybreak, Inc.

  dba 974 E Cedar

  • Intellectual Disabilities Intermediate Care Facility
  • Seguin, TX
  • NPI 1295375913
  NPD tax ID
• Daybreak, Inc.

  dba 6520 Braddock Place

  • Intellectual Disabilities Intermediate Care Facility
  • Dallas, TX
  • NPI 1306446000
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1033443288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ STE 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094836",
            "telephone_number": "817-289-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 DEVONSHIRE DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153757",
            "telephone_number": "800-299-5161",
            "fax_number": "817-447-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYBREAK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "PENKALA",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "817-289-8450"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICF  LICENSE",
            "identifier": "00104131",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devonshire Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Renee Darden-Jefferson, D.C.
• Seanna R Daves, MD
• Fannie Marie Davis, BS
• Sanetria Davis
• Daybreak Wellness, PLLC
• Daybreak, Inc. (Prairie Creek)
• Daybreak, Inc. (Daybreak)
• Daybreak, Inc. (Meadow Hill Home)
• DCP Healthcare Solutions Inc
• De Soto Senior Living, Inc. (Deer Creek Assisted Living)

• Intellectual Disabilities Intermediate Care Facility in Desoto, TX
• Providers in Desoto, TX by specialty
• Intellectual Disabilities Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.