Organization Active NPI

Daybreak Adult Care Services Inc

  • Developmentally Disabled Services Day Training Agency
  • Denver, CO
National Provider Identifier
1598859035
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
04143822 Issued in CO
Legal business name
DAYBREAK ADULT CARE SERVICES INC
Practice address
4705 Paris St
Ste 100
Denver, CO 80239
Phone
(303) 307-8855
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. George Radney
Title
Ceo
Phone
(303) 307-8855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 04143822 CO Primary

Addresses

Primary practice location

4705 Paris St
Ste 100
Denver, CO 80239

Mailing address

4705 Paris St
Ste 100
Denver, CO 80239
Phone (303) 307-8855

Other identifiers 1

IdentifierTypeStateIssuer
04143822MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598859035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 PARIS ST",
            "address_2": "STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80239",
            "telephone_number": "303-307-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 PARIS ST",
            "address_2": "STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80239",
            "telephone_number": "303-307-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYBREAK ADULT CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADNEY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-307-8855",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CO",
            "license": "04143822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04143822",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.