NPIMap

Organization Active NPI

Daybreaks Senior Care LLC

  • Adult Day Care Clinic/Center
  • Highland, IL
National Provider Identifier
1790120764
Registry record updated May 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
DAYBREAKS SENIOR CARE LLC
Practice address
1308 Mercantile Dr Ste a
Highland, IL 62249-1297
Phone
(618) 651-4120
Fax
(618) 651-4121
NPI assigned
May 5, 2013
Last updated
May 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2013

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

Authorized official

Name
Carla Marie Riva, LPN
Title
Executive Director
Phone
(618) 651-4120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1308 Mercantile Dr Ste a
Highland, IL 62249-1297

Mailing address

1308 Mercantile Dr Ste a
Highland, IL 62249-1297
Phone (618) 651-4120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367712000000",
    "number": "1790120764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 MERCANTILE DR STE A",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491297",
            "telephone_number": "618-651-4120",
            "fax_number": "618-651-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 MERCANTILE DR STE A",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491297",
            "telephone_number": "618-651-4120",
            "fax_number": "618-651-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYBREAKS SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-05",
        "last_updated": "2013-05-05",
        "status": "A",
        "authorized_official_last_name": "RIVA",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-651-4120",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2013; 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.