Bryan L. Casey, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

PASSPORT Issued in OH

Legal business name

BRYAN L. CASEY, LLC

Doing business as

Daybreak

Practice address

31935 Oh-93
Maarthur, OH 45651

Phone

(740) 596-2303

Fax

(201) 661-2846

NPI assigned

Oct 28, 2009

Last updated

Apr 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bryan Leslie Casey, LNHA

Title

Owner

Phone

(740) 350-9095

Specialties & licenses 1

Addresses

Other names 2

• Daybreak Doing business as
• Daybreak DODD Other name

Locations

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1851627616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PUTNAM ST STE 110",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502952",
            "telephone_number": "740-415-1138",
            "fax_number": "201-661-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31935 OH-93",
            "city": "MAARTHUR",
            "state": "OH",
            "postal_code": "45651",
            "telephone_number": "740-596-2303",
            "fax_number": "201-661-2846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26261 Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Coolville",
            "state": "OH",
            "postal_code": "457239205",
            "country_code": "US",
            "telephone_number": "740-596-2303",
            "fax_number": "201-661-2846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRYAN L. CASEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-350-9095",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "OH",
            "license": "PASSPORT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daybreak",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Daybreak DODD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Daybreak DODD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.