Day Break at Waterbury, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

DAY BREAK AT WATERBURY, LLC

Practice address

161 Interstate Lane
Waterbury, CT 06705

Phone

(203) 757-0106

Fax

(203) 596-9264

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Rephael Max

Title

Coo

Phone

(203) 757-0106

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1043427701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 INTERSTATE LANE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06705",
            "telephone_number": "203-757-0106",
            "fax_number": "203-596-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 INTERSTATE LANE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06705",
            "telephone_number": "203-757-0106",
            "fax_number": "203-596-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAY BREAK AT WATERBURY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "MAX",
        "authorized_official_first_name": "REPHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "203-757-0106",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelvin Davis
• Rodney Lee Davis Jr., LADC, LSW, LPC, PSYA
• Semone Davis
• Maria D Dawe, M.D,
• Amber L. Dawson, APRN
• Day Chiropractic
• Francis Joseph Day, D.C.
• Kayla Dayle, CHILD CARE WORKER
• Marcos Malli De Escobar, N.D.
• Destiny Maria De Jesus-Lawson

• Adult Day Care Clinic/Center in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Adult Day Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.