NPIMap

Organization Active NPI

Daybreak Incorporated

  • Case Management Agency
  • Anchorage, AK
National Provider Identifier
1891331237
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DAYBREAK INCORPORATED
Practice address
121 W Fireweed LN Ste 175
Anchorage, AK 99503-2035
Phone
(888) 933-0102
Fax
(907) 274-2826
NPI assigned
Nov 20, 2019
Organization subpart
Yes
Parent organization
DAYBREAK, INCORPORATEDAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Polly-Beth Odom, MS BSWNPI 1952902728
Title
Assistant Executive Director
Phone
(907) 746-6019

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 1

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

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Daybreak Incorporated (2 organizations share this tax ID)
Part of
Daybreak Incorporated

Locations

121 W Fireweed Ln
Ste 175
Anchorage, AK 99503
Phone (888) 933-0102

550 S Alaska St
Ste 202
Palmer, AK 99645
Phone (907) 746-6019

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

121 W Fireweed LN Ste 175
Anchorage, AK 99503-2035

Mailing address

550 S Alaska St Ste 202
Palmer, AK 99645-6372
Phone (907) 746-6019

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1811042872MedicaidAK

Other names 1

NPPES NPI Registry
  • Daybreak, Incorporated - Anchorage Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 20, 2019.

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1891331237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S ALASKA ST STE 202",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456372",
            "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": "121 W FIREWEED LN STE 175",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032035",
            "telephone_number": "888-933-0102",
            "fax_number": "907-274-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYBREAK INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAYBREAK, INCORPORATED",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "POLLY-BETH",
        "authorized_official_title_or_position": "ASSISTANT EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-746-6019",
        "authorized_official_credential": "MS BSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811042872",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daybreak, Incorporated - Anchorage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.