Daybreak, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

DAYBREAK, INC.

Doing business as

3425 Grinnell St

Practice address

3425 Grinnell St
Lubbock, TX 79415-1552

Phone

(800) 289-7121

Fax

(806) 784-0753

NPI assigned

Jan 8, 2020

Last updated

Jan 8, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

DAYBREAK, INC.As reported in NPPES

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

Authorized official

Name

Anna Todd

Title

Corporate Office & Project Manager

Phone

(800) 299-5161

Specialties & licenses 1

Addresses

Other names 1

• 3425 Grinnell St Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871133702. Details of each certification follow.

• CCN 45G234 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 45G234

Legal name

3425 GRINNELL ST

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Feb 19, 1987

Last certification

Jun 20, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

3425 Grinnell Street
Lubbock, TX 79415

Tax ID family

Daybreak Inc26 organizations share this tax ID, including this one

Part of

Daybreak Inc

Other organizations with this tax ID 25

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

• Daybreak, Inc.

  dba Devonshire Home

  • Intellectual Disabilities Intermediate Care Facility
  • Desoto, TX
  • NPI 1033443288
  NPD tax ID
• Daybreak, Inc.

  dba 4801 Bermuda Dr

  • Intellectual Disabilities Intermediate Care Facility
  • San Angelo, TX
  • NPI 1033759758
  NPD tax ID
• Daybreak, Inc.

  dba 3221 Southland Blvd

  • Intellectual Disabilities Intermediate Care Facility
  • San Angelo, TX
  • NPI 1053951764
  NPD tax ID
• Daybreak, Inc.

  dba 1809 Auburn

  • Intellectual Disabilities Intermediate Care Facility
  • Richardson, TX
  • NPI 1053951772
  NPD tax ID
• Daybreak, Inc.

  dba Prairie Creek

  • Intellectual Disabilities Intermediate Care Facility
  • Desoto, TX
  • NPI 1073714507
  NPD tax ID
• Daybreak, Inc.

  dba Daybreak

  • Intellectual Disabilities Intermediate Care Facility
  • Desoto, TX
  • NPI 1104036771
  NPD tax ID
• Daybreak, Inc.

  dba 2100 Cedar

  • Intellectual Disabilities Intermediate Care Facility
  • Carrollton, TX
  • NPI 1124668850
  NPD tax ID
• Daybreak, Inc.

  dba 1509 Versailles

  • Intellectual Disabilities Intermediate Care Facility
  • Richardson, TX
  • NPI 1245870161
  NPD tax ID
• Daybreak, Inc.

  dba Amicus at Rifleman

  • Intellectual Disabilities Intermediate Care Facility
  • Arlington, TX
  • NPI 1255519468
  NPD tax ID
• Daybreak, Inc.

  dba Amicus at Xavier

  • Intellectual Disabilities Intermediate Care Facility
  • Arlington, TX
  • NPI 1275640666
  NPD tax ID
• Daybreak, Inc.

  dba 2742 Palo Duro Dr

  • Intellectual Disabilities Intermediate Care Facility
  • San Angelo, TX
  • NPI 1285274126
  NPD tax ID
• Daybreak, Inc.

  dba 974 E Cedar

  • Intellectual Disabilities Intermediate Care Facility
  • Seguin, TX
  • NPI 1295375913
  NPD tax ID

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1871133702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 OVERTON PLZ STE 440",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094435",
            "telephone_number": "800-299-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 GRINNELL ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794151552",
            "telephone_number": "800-289-7121",
            "fax_number": "806-784-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYBREAK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAYBREAK, INC.",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CORPORATE OFFICE & PROJECT MANAGER",
        "authorized_official_telephone_number": "800-299-5161"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3425 Grinnell St",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Dawson, LPC, LCDC
• Corina Ramos Day
• Kerri Day
• Miles Russell Day, MD
• Daybreak, Inc. (5814 6th St)
• Daybreak, Inc. (3419 54th St)
• Nicholas Cyril Dcunha, MD
• Nina De Mol Van Otterloo
• Harvey Burguillos De Nieva, MD
• Werner T. De Riese, M.D.

• Intellectual Disabilities Intermediate Care Facility in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Intellectual Disabilities Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.