NPIMap

Organization Active NPI

Daybreak, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Euless, TX
National Provider Identifier
1710165923
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
001012228 Issued in TX
Legal business name
DAYBREAK, INC.
Practice address
512 S Mills Dr
Euless, TX 76040-5128
Phone
(817) 355-9661
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Robert Wolin
Title
Attorney
Phone
(713) 646-1327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 001012228 TX Primary

Addresses

Primary practice location

512 S Mills Dr
Euless, TX 76040-5128

Mailing address

4800 Overton PLZ Ste 440
Ft Worth, TX 76109-4435
Phone (817) 447-2700

Other identifiers 1

IdentifierTypeStateIssuer
001012228MedicaidTX

Other names 1

  • Amicus at Mills 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 45H123

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
AMICUS AT MILLS
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Dec 10, 1993
Last certification
Jan 16, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
512 S Mills Drive
Euless, TX 76040

National Provider Directory

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

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": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1710165923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 OVERTON PLZ STE 440",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761094435",
            "telephone_number": "817-447-2700",
            "fax_number": "817-447-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 S MILLS DR",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760405128",
            "telephone_number": "817-355-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYBREAK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "WOLIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "713-646-1327"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "001012228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012228",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amicus at Mills",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amicus at Mills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Euless, TX

Sources for this page

Verify at the official NPI Registry.