Active NPI
Daybreak, Inc.
Doing business as 2742 Palo Duro Dr
- Intellectual Disabilities Intermediate Care Facility
- San Angelo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- DAYBREAK, INC.
- Doing business as
- 2742 Palo Duro Dr
- Practice address
- 2742 Palo Duro Dr
San Angelo, TX 76904-7449 - Phone
- (877) 659-3108
- Fax
- (325) 657-9237
- NPI assigned
- Jan 8, 2020
- Organization subpart
- Yes
- Parent organization
- DAYBREAK, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna Todd
- Title
- Corporate Office & Project Manager
- Phone
- (800) 299-5161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Primary |
Addresses
Primary practice location
2742 Palo Duro Dr
San Angelo, TX 76904-7449
Mailing address
4800 Overton PLZ Ste 440
Fort Worth, TX 76109-4435
Phone (800) 299-5161
Other names 1
- 2742 Palo Duro Dr
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 45G260
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
- 2742 PALO DURO DR
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Sep 17, 1987
- Last certification
- Oct 10, 2025
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Most recent change of ownership
- Jan 1, 2005
- Facility address
- 2742 Palo Duro Dr
San Angelo, TX 76904
National Provider Directory
National Provider Directory- Tax ID family
- Daybreak Inc
- Part of
- Daybreak Inc
Other organizations with this tax ID 25
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Devonshire Home
- Intellectual Disabilities Intermediate Care Facility
- Desoto, TX
- NPI 1033443288
-
dba 4801 Bermuda Dr
- Intellectual Disabilities Intermediate Care Facility
- San Angelo, TX
- NPI 1033759758
-
dba 3221 Southland Blvd
- Intellectual Disabilities Intermediate Care Facility
- San Angelo, TX
- NPI 1053951764
-
dba 1809 Auburn
- Intellectual Disabilities Intermediate Care Facility
- Richardson, TX
- NPI 1053951772
-
dba Prairie Creek
- Intellectual Disabilities Intermediate Care Facility
- Desoto, TX
- NPI 1073714507
-
dba Daybreak
- Intellectual Disabilities Intermediate Care Facility
- Desoto, TX
- NPI 1104036771
-
dba 2100 Cedar
- Intellectual Disabilities Intermediate Care Facility
- Carrollton, TX
- NPI 1124668850
-
dba 1509 Versailles
- Intellectual Disabilities Intermediate Care Facility
- Richardson, TX
- NPI 1245870161
-
dba Amicus at Rifleman
- Intellectual Disabilities Intermediate Care Facility
- Arlington, TX
- NPI 1255519468
-
dba Amicus at Xavier
- Intellectual Disabilities Intermediate Care Facility
- Arlington, TX
- NPI 1275640666
-
dba 974 E Cedar
- Intellectual Disabilities Intermediate Care Facility
- Seguin, TX
- NPI 1295375913
-
dba 6520 Braddock Place
- Intellectual Disabilities Intermediate Care Facility
- Dallas, TX
- NPI 1306446000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578441600000",
"number": "1285274126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 OVERTON PLZ STE 440",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094435",
"telephone_number": "800-299-5161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2742 PALO DURO DR",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769047449",
"telephone_number": "877-659-3108",
"fax_number": "325-657-9237"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYBREAK, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DAYBREAK, INC.",
"enumeration_date": "2020-01-08",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A",
"authorized_official_last_name": "TODD",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "CORPORATE OFFICE & PROJECT MANAGER",
"authorized_official_telephone_number": "800-299-5161"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "2742 Palo Duro Dr",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.