NPIMap

Organization Active NPI

Daybreak, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Lubbock, TX
National Provider Identifier
1962042895
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
DAYBREAK, INC.
Practice address
3419 54TH St
Lubbock, TX 79413-4049
Phone
(800) 289-7121
Fax
(806) 784-0753
NPI assigned
Jan 8, 2020
Organization subpart
Yes
Parent organization
DAYBREAK, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

3419 54TH St
Lubbock, TX 79413-4049

Mailing address

4800 Overton PLZ Ste 440
Fort Worth, TX 76109-4435
Phone (800) 299-5161

Other names 1

  • 3419 54th St Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 45H140

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
3419 54TH ST
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Mar 8, 1994
Last certification
Aug 21, 2025
Beds
6
Ownership / control type
Private (proprietary)
Most recent change of ownership
Jan 1, 2005
Facility address
3419 54TH St
Lubbock, TX 79413

National Provider Directory

National Provider Directory
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.

View all 25

NPI Registry JSON

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": "1962042895",
    "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": "3419 54TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794134049",
            "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3419 54th St",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.