Organization Active NPI

Daybreak Home Health Nursing Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Houston, TX
National Provider Identifier
1376675322
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
001007251 Issued in TX
Legal business name
DAYBREAK HOME HEALTH NURSING SERVICES
Practice address
5331 W Orem Dr
Houston, TX 77045-5036
Phone
(713) 433-0528
Fax
(713) 433-1462
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Gwendolyn Arnetta Gibbs
Title
General Partner
Phone
(713) 433-0528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 001007251 TX Primary

Addresses

Primary practice location

5331 W Orem Dr
Houston, TX 77045-5036

Mailing address

PO Box 451485
Houston, TX 77245-1485
Phone (713) 433-0528

Other identifiers 1

IdentifierTypeStateIssuer
001007251MedicaidTX

Other names 1

  • GWENDOLYN A. GIBBS Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Daybreak Home Health Nursing Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1376675322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451485",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772451485",
            "telephone_number": "713-433-0528",
            "fax_number": "713-433-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 W OREM DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770455036",
            "telephone_number": "713-433-0528",
            "fax_number": "713-433-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYBREAK HOME HEALTH NURSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "ARNETTA",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "713-433-0528"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "001007251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001007251",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GWENDOLYN A. GIBBS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.