Provider Demographics
NPI:1528393402
Name:DAYBREAK, INC.
Entity Type:Organization
Organization Name:DAYBREAK, INC.
Other - Org Name:MEADOW HILL
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-447-2700
Mailing Address - Street 1:PO BOX 1775
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76097-1775
Mailing Address - Country:US
Mailing Address - Phone:817-447-2700
Mailing Address - Fax:817-447-3033
Practice Address - Street 1:517 MEADOW HILL DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-5093
Practice Address - Country:US
Practice Address - Phone:817-447-2700
Practice Address - Fax:817-447-3033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104122251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX104122OtherICF LICENSE