NPIMap

Organization Active NPI

Daybreak, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Arlington, TX
National Provider Identifier
1275640666
Registry record updated May 29, 2019
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Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
001004796 Issued in TX
Legal business name
DAYBREAK, INC.
Practice address
817 Xavier Dr
Arlington, TX 76001-7502
Phone
(817) 467-3731
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Robert Wolin
Title
Attorney
Phone
(713) 646-1327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 001004796 TX Primary

Addresses

Primary practice location

817 Xavier Dr
Arlington, TX 76001-7502

Mailing address

4800 Overton PLZ Ste 440
Ft Worth, TX 76109-4435
Phone (817) 447-2700

Other identifiers 1

IdentifierTypeStateIssuer
001004796MedicaidTX

Other names 1

  • Amicus at Xavier Doing business as

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 45H139

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
AMICUS AT XAVIER
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 25, 1994
Last certification
Dec 11, 2025
Beds
6
Ownership / control type
Private (proprietary)
Most recent change of ownership
Sep 10, 2003
Facility address
817 Xavier Drive
Arlington, TX 76001

National Provider Directory

National Provider Directory
Tax ID family
Daybreak Inc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1275640666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 OVERTON PLZ STE 440",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761094435",
            "telephone_number": "817-447-2700",
            "fax_number": "817-447-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 XAVIER DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760017502",
            "telephone_number": "817-467-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYBREAK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "WOLIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "713-646-1327"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "001004796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004796",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amicus at Xavier",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amicus at Xavier",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.