Healthcare Provider Details

I. General information

NPI: 1174664650
Provider Name (Legal Business Name): DAYBREAK ADULT DAYCARE AT ELIZABETH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 NEWARK AVE
ELIZABETH NJ
07208-3540
US

IV. Provider business mailing address

712 NEWARK AVE
ELIZABETH NJ
07208-3540
US

V. Phone/Fax

Practice location:
  • Phone: 908-353-3530
  • Fax: 908-353-3529
Mailing address:
  • Phone: 908-353-3530
  • Fax: 908-353-3529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number908113
License Number StateNJ

VIII. Authorized Official

Name: MANISHA PATEL
Title or Position: OWNER
Credential:
Phone: 908-353-3530