DAYBREAKS SENIOR CARE LLC (NPI# 1790120764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790120764 |
Entity Type | Organization |
Organization Name | DAYBREAKS SENIOR CARE LLC |
Practice Address |
1308 Mercantile Dr Ste A Highland IL 62249-1297 |
Practice Telephone | 6186514120 |
Practice Fax Number | 6186514121 |
Mailing Telephone | 6186514120 |
Mailing Fax Number | 6186514121 |
Enumeration Date | 2013-05-05 |
Last Update Date | 2013-05-05 |
Authorized Official Name | CARLA MARIE RIVA (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6186514120 |
Authorized Official Credential | LPN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
Street Address |
1308 MERCANTILE DR STE A |
City | HIGHLAND |
State | IL |
Zip Code | 62249-1297 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750981601 | Michelle Denise Schiefer | Pharmacist | 12495 Il Hwy 143, Highland, IL 62249 | 2020-10-29 |
1184235335 | Stephanie Ann Pfeffer | Speech-Language Pathologist | 2813 Il-160, Highland, IL 62249 | 2020-08-12 |
1205317898 | Nahant Dialysis LLC | Clinic/Center | 2491 Industrial Dr Ste 200, Highland, IL 62249 | 2018-08-22 |
1811432180 | Apollo Medical Holdings | Home Health | 188 Woodcrest Dr, Highland, IL 62249 | 2016-12-22 |
1881935781 | Donald Lloyd Chaney | Family Medicine | 3833 Meadow Lane, Highland, IL 62249 | 2013-03-04 |
1871842112 | Dental Professionals of Illinois, P.C. | Dentist | 12605 Troxler Ave, Highland, IL 62249 | 2012-08-31 |
1770866428 | 3f Vision LLC | Optometrist | Unit # 1 12603 Il Highway 143, Highland, IL 62249 | 2011-09-20 |
1396075305 | Theresa E Howard | Counselor | 3636 Villa Park Drive, Highland, IL 62249 | 2010-01-14 |
1710127295 | Eric Bernard Kosel | Dentist | 380 Suppiger Way #3, Highland, IL 62249 | 2009-02-24 |
1528206745 | Holley Anne Friesz Heidel | Speech-Language Pathologist | 13 Triland Court, Highland, IL 62249 | 2009-01-26 |
Find all providers in zip 62249 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
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1962896431 | Presence Heritage Day Break | Clinic/Center | 1025 N Washington Ave, Kankakee, IL 60901-2059 | 2015-03-23 |
1700281011 | Starlight Adult Day Care Dba Forever Young Adult Day Services, Inc. | Clinic/Center | 6700 N Lincoln Ave, Lincolnwood, IL 60712-3607 | 2014-10-29 |
1588073753 | The Golden Years Adult Day Center LLC | Clinic/Center | 7 N 44th St, Belleville, IL 62226-5543 | 2014-08-12 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.