NPIMap

Organization Active NPI

Catholic Community Services Yuma

Doing business as Daybreak Adult Day Health Care

  • Adult Day Care Clinic/Center
  • Yuma, AZ
National Provider Identifier
1497267892
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
AL3382D Issued in AZ
Legal business name
CATHOLIC COMMUNITY SERVICES YUMA
Doing business as
Daybreak Adult Day Health Care
Practice address
321 S 15TH Ave
Yuma, AZ 85364-1939
Phone
(928) 783-8316
Fax
(928) 783-8317
NPI assigned
Oct 26, 2017
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Eva Jasso Mendez-Counts
Title
Executive Director
Phone
(928) 341-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X AL3382D AZ Primary

Addresses

Primary practice location

321 S 15TH Ave
Yuma, AZ 85364-1939

Mailing address

690 E 32ND St
Yuma, AZ 85365-3437
Phone (928) 340-9400

Other identifiers 1

IdentifierTypeStateIssuer
153841MedicaidAZ

Other names 1

  • DAYBREAK ADULT DAY HEALTH CARE Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0715155Daybreak Adult Day Health Care321 South 15TH Avenue, Yuma, AZ 85364Certificate of waiverSep 28, 2026

National Provider Directory

National Provider Directory
Tax ID family
Catholic Community Services - Sierra Vista11 organizations share this tax ID, including this one
Part of
Catholic Community Services - Sierra Vista

Other organizations with this tax ID 10

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

Locations

321 S 15th Ave
Yuma, AZ 85364
Phone (928) 783-8316

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1497267892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 E 32ND ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853653437",
            "telephone_number": "928-340-9400",
            "fax_number": "928-726-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S 15TH AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853641939",
            "telephone_number": "928-783-8316",
            "fax_number": "928-783-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC COMMUNITY SERVICES YUMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA, INC.",
        "enumeration_date": "2017-10-26",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "MENDEZ-COUNTS",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "JASSO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-341-9400"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "AZ",
            "license": "AL3382D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153841",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAYBREAK ADULT DAY HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.