Organization Active NPI

Almost Home Daybreak

  • Voluntary or Charitable Agency
  • Jacksonville, FL
National Provider Identifier
1164774477
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
9109 Issued in FL
Legal business name
ALMOST HOME DAYBREAK
Doing business as
Almost Home DayBreak
Practice address
3604 Cardinal Point Dr
Jacksonville, FL 32257-5581
Phone
(904) 731-4002
Fax
(904) 731-0002
NPI assigned
Oct 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Jamie L. Glavich
Title
C.E.O.
Phone
(904) 731-4002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 9109 FL Primary

Addresses

Primary practice location

3604 Cardinal Point Dr
Jacksonville, FL 32257-5581

Mailing address

3604 Cardinal Point Dr
Jacksonville, FL 32257-5581
Phone (904) 731-4002

Other identifiers 2

IdentifierTypeStateIssuer
080398702MedicaidFL
080398701MedicaidFL

Other names 1

  • Almost Home DayBreak Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Almost Home Daybreak2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3604 Cardinal Point Dr
Jacksonville, FL 32257
Phone (904) 448-8227

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1164774477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 CARDINAL POINT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575581",
            "telephone_number": "904-731-4002",
            "fax_number": "904-731-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 CARDINAL POINT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575581",
            "telephone_number": "904-731-4002",
            "fax_number": "904-731-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALMOST HOME DAYBREAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "GLAVICH",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "904-731-4002"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "9109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080398702",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080398701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Almost Home DayBreak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.