Healthcare Provider Details

I. General information

NPI: 1528393402
Provider Name (Legal Business Name): DAYBREAK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2009
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 MEADOW HILL DR
DESOTO TX
75115-5093
US

IV. Provider business mailing address

4150 INTERNATIONAL PLZ STE 820
FORT WORTH TX
76109-4836
US

V. Phone/Fax

Practice location:
  • Phone: 817-447-2700
  • Fax: 817-447-3033
Mailing address:
  • Phone: 800-299-5161
  • Fax: 817-447-3033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number104122
License Number StateTX

VIII. Authorized Official

Name: BRANDI TURNER
Title or Position: LICENSING COORDINATOR
Credential:
Phone: 682-707-2756