NPIMap

Organization Active NPI

Chance 2 Change

Doing business as Break the Cycle

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Daytona Beach, FL
National Provider Identifier
1164815106
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CHANCE 2 CHANGE
Doing business as
Break the Cycle
Practice address
724 S Beach St
Suite 3
Daytona Beach, FL 32114-5441
Phone
(386) 437-0235
NPI assigned
Mar 16, 2015
Last updated
Jun 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Kim Jones
Title
Manager
Phone
(386) 437-0235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

724 S Beach St
Suite 3
Daytona Beach, FL 32114-5441

Mailing address

4721 E Moody Blvd
Ste 107
Bunnell, FL 32110-7705
Phone (386) 437-0235

Other names 1

  • BREAK THE CYCLE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Break the Cycle4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

  • Chance 2 Change

    dba Break the Cycle

    • Substance Use Disorder Rehabilitation Clinic/Center
    • Palatka, FL
    • NPI 1073313177
    NPD tax ID
  • Chance 2 Change

    dba Break the Cycle

    • Substance Use Disorder Rehabilitation Clinic/Center
    • Daytona, FL
    • NPI 1578911541
    NPD tax ID
  • Chance 2 Change

    dba Break The Cycle

    • Substance Use Disorder Rehabilitation Clinic/Center
    • Bunnell, FL
    • NPI 1750708004
    NPD tax ID

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1164815106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 E MOODY BLVD",
            "address_2": "STE 107",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321107705",
            "telephone_number": "386-437-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 S BEACH ST",
            "address_2": "SUITE 3",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145441",
            "telephone_number": "386-437-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCE 2 CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "386-437-0235"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BREAK THE CYCLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.