Organization Active NPI

Daybreak Village Inc

  • Assisted Living Facility
  • Winner, SD
National Provider Identifier
1891525648
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DAYBREAK VILLAGE INC
Practice address
956 E 7TH St
Winner, SD 57580-2163
Phone
(605) 842-0806
NPI assigned
Aug 6, 2024
Last updated
Aug 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Renee Holzer
Title
Bookkeeper
Phone
(605) 842-0806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

956 E 7TH St
Winner, SD 57580-2163

Mailing address

PO Box 71
Winner, SD 57580-0071
Phone (605) 842-0806

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D1107067Daybreak Village956 E 7TH, Winner, SD 57580Certificate of waiverOct 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Daybreak Village Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1891525648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575800071",
            "telephone_number": "605-842-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 E 7TH ST",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575802163",
            "telephone_number": "605-842-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYBREAK VILLAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "HOLZER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "605-842-0806"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winner, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.