NPIMap

Organization Active NPI

Daybreak, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Seguin, TX
National Provider Identifier
1639719552
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
DAYBREAK, INC.
Practice address
1622 Willow LN
Seguin, TX 78155-5255
Phone
(830) 629-4400
Fax
(830) 609-0208
NPI assigned
Jan 8, 2020
Organization subpart
Yes
Parent organization
DAYBREAK, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

1622 Willow LN
Seguin, TX 78155-5255

Mailing address

4800 Overton PLZ Ste 440
Fort Worth, TX 76109-4435
Phone (800) 299-5161

Other names 1

  • 1622 Willow 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 45G258

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
1622 WILLOW
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Sep 15, 1987
Last certification
Oct 7, 2025
Beds
6
Ownership / control type
Private (proprietary)
Most recent change of ownership
Jan 1, 2005
Facility address
1622 Willow Lane
Seguin, TX 78155

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
45D2259915Daybreak, Inc1622 Willow Lane, Seguin, TX 78155Certificate of waiverMay 11, 2028

National Provider Directory

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

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": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1639719552",
    "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",
            "fax_number": "817-447-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 WILLOW LN",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555255",
            "telephone_number": "830-629-4400",
            "fax_number": "830-609-0208"
        }
    ],
    "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": "1622 Willow",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seguin, TX

Sources for this page

Verify at the official NPI Registry.