Provider Demographics
NPI:1548800485
Name:DAYBREAK, INC.
Entity Type:Organization
Organization Name:DAYBREAK, INC.
Other - Org Name:SIERRA HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:THISTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-272-3604
Mailing Address - Street 1:4800 OVERTON PLZ STE 440
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-4435
Mailing Address - Country:US
Mailing Address - Phone:800-299-5161
Mailing Address - Fax:
Practice Address - Street 1:3026 SIERRA DR
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-6932
Practice Address - Country:US
Practice Address - Phone:877-659-3108
Practice Address - Fax:325-657-9237
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAYBREAK, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-08
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities