NPIMap

Organization Active NPI

Daybreak Incorporated

Doing business as Daybreak

  • Case Management Agency
  • Palmer, AK
National Provider Identifier
1811042872
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DAYBREAK INCORPORATED
Doing business as
Daybreak
Practice address
263 S Bonanza St
Palmer, AK 99645-6346
Phone
(907) 746-6019
Fax
(907) 745-7565
NPI assigned
Jan 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Polly-Beth Odom, MS, BSWNPI 1952902728
Title
Program Director
Phone
(907) 745-6012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X AK Primary

Addresses

Primary practice location

263 S Bonanza St
Palmer, AK 99645-6346

Mailing address

263 S Bonanza St
Palmer, AK 99645-6346
Phone (907) 746-6019

Other names 1

  • Daybreak Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daybreak Incorporated2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811042872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 S BONANZA ST",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456346",
            "telephone_number": "907-746-6019",
            "fax_number": "907-745-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 S BONANZA ST",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456346",
            "telephone_number": "907-746-6019",
            "fax_number": "907-745-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYBREAK INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "POLLY-BETH",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "907-745-6012",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, BSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daybreak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.