Active NPI
Daybreak Adult Daycare at Elizabeth LLC
- Adult Day Care Clinic/Center
- Elizabeth, NJ
National Provider Identifier
1174664650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 908113
- Legal business name
- DAYBREAK ADULT DAYCARE AT ELIZABETH LLC
- Practice address
- 712 Newark Ave
Elizabeth, NJ 07208-3540 - Phone
- (908) 353-3530
- Fax
- (908) 353-3529
- NPI assigned
- Feb 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manisha Patel
- Title
- Owner
- Phone
- (908) 353-3530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 908113 | NJ | Primary |
Addresses
Primary practice location
712 Newark Ave
Elizabeth, NJ 07208-3540
Mailing address
712 Newark Ave
Elizabeth, NJ 07208-3540
Phone (908) 353-3530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009105 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
712 Newark Ave
Elizabeth, NJ 07208
Phone (908) 353-3530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769040000000",
"number": "1174664650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 NEWARK AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072083540",
"telephone_number": "908-353-3530",
"fax_number": "908-353-3529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 NEWARK AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072083540",
"telephone_number": "908-353-3530",
"fax_number": "908-353-3529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYBREAK ADULT DAYCARE AT ELIZABETH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "MANISHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-353-3530"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NJ",
"license": "908113",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009105",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.