Organization Active NPI

Daybreak Canyon

  • Psychiatric Residential Treatment Facility
  • Rupert, ID
National Provider Identifier
1750601795
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
28990 Issued in ID
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

Updated by the provider on Jun 1, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.