Active NPI
Daybreak Canyon
- Psychiatric Residential Treatment Facility
- Rupert, ID
National Provider Identifier
1750601795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- License
- 28990
- Legal business name
- DAYBREAK CANYON
- Practice address
- 275 E 1600 N
Rupert, ID 83350-9563 - Phone
- (208) 312-4117
- Fax
- (877) 580-3806
- NPI assigned
- Jun 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Larry McArthur
- Title
- Founder, Ceo
- Phone
- (208) 312-4117
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | 28990 | ID | Primary |
Addresses
Primary practice location
275 E 1600 N
Rupert, ID 83350-9563
Mailing address
PO Box 348
Twin Falls, ID 83303-0348
Phone (208) 655-4111
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275350400000",
"number": "1750601795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 348",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833030348",
"telephone_number": "208-655-4111",
"fax_number": "877-580-3806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 E 1600 N",
"city": "RUPERT",
"state": "ID",
"postal_code": "833509563",
"telephone_number": "208-312-4117",
"fax_number": "877-580-3806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYBREAK CANYON",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-01",
"last_updated": "2010-06-01",
"status": "A",
"authorized_official_last_name": "MCARTHUR",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "FOUNDER, CEO",
"authorized_official_telephone_number": "208-312-4117",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": "ID",
"license": "28990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rupert, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.