Organization Active NPI

Daybreak Adult Daycare at Elizabeth LLC

  • Adult Day Care Clinic/Center
  • Elizabeth, NJ
National Provider Identifier
1174664650
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
908113 Issued in NJ
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

Updated by the provider on Jan 22, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0009105MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.