Active NPI
Daybreak, Inc.
- Intellectual Disabilities Intermediate Care Facility
- Carrollton, TX
National Provider Identifier
1124668850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- DAYBREAK, INC.
- Practice address
- 2100 Cedar Cir
Carrollton, TX 75006-1922 - Phone
- (972) 224-3554
- Fax
- (972) 224-0904
- NPI assigned
- Jan 10, 2020
- Organization subpart
- Yes
- Parent organization
- DAYBREAK, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna Todd
- Title
- Corporate Office & Project Manager
- Phone
- (800) 299-5161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Primary |
Addresses
Primary practice location
2100 Cedar Cir
Carrollton, TX 75006-1922
Mailing address
4800 Overton PLZ Ste 440
Fort Worth, TX 76109-4435
Phone (800) 299-5161
Other names 1
- 2100 Cedar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 45G285
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- 2100 CEDAR
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Mar 11, 1988
- Last certification
- Feb 28, 2025
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Most recent change of ownership
- Jan 1, 2005
- Facility address
- 2100 Cedar Cir
Carrollton, TX 75006
National Provider Directory
National Provider Directory- Tax ID family
- Daybreak Inc
- Part of
- Daybreak Inc
Other organizations with this tax ID 25
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Desoto, TX
- NPI 1033443288
-
- Intellectual Disabilities Intermediate Care Facility
- San Angelo, TX
- NPI 1033759758
-
- Intellectual Disabilities Intermediate Care Facility
- San Angelo, TX
- NPI 1053951764
-
- Intellectual Disabilities Intermediate Care Facility
- Richardson, TX
- NPI 1053951772
-
- Intellectual Disabilities Intermediate Care Facility
- Desoto, TX
- NPI 1073714507
-
- Intellectual Disabilities Intermediate Care Facility
- Desoto, TX
- NPI 1104036771
-
- Intellectual Disabilities Intermediate Care Facility
- Richardson, TX
- NPI 1245870161
-
- Intellectual Disabilities Intermediate Care Facility
- Arlington, TX
- NPI 1255519468
-
- Intellectual Disabilities Intermediate Care Facility
- Arlington, TX
- NPI 1275640666
-
- Intellectual Disabilities Intermediate Care Facility
- San Angelo, TX
- NPI 1285274126
-
- Intellectual Disabilities Intermediate Care Facility
- Seguin, TX
- NPI 1295375913
-
- Intellectual Disabilities Intermediate Care Facility
- Dallas, TX
- NPI 1306446000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578614400000",
"number": "1124668850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 OVERTON PLZ STE 440",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094435",
"telephone_number": "800-299-5161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 CEDAR CIR",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750061922",
"telephone_number": "972-224-3554",
"fax_number": "972-224-0904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYBREAK, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DAYBREAK, INC.",
"enumeration_date": "2020-01-10",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A",
"authorized_official_last_name": "TODD",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "CORPORATE OFFICE & PROJECT MANAGER",
"authorized_official_telephone_number": "800-299-5161"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "2100 Cedar",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.