Provider Demographics
NPI:1982656054
Name:DAYBREAK & VISITING NURSE CARE, LLC
Entity Type:Organization
Organization Name:DAYBREAK & VISITING NURSE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SALATIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-640-1065
Mailing Address - Street 1:1304 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46016-1786
Mailing Address - Country:US
Mailing Address - Phone:765-640-1065
Mailing Address - Fax:765-640-1665
Practice Address - Street 1:1304 MAIN ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46016-1786
Practice Address - Country:US
Practice Address - Phone:765-640-1065
Practice Address - Fax:765-640-1665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06-005832251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200379540AMedicaid
IN200379540AMedicaid