MEDICARE: DAYBREAK, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	104122	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	104122	OTHER	TX	ICF LICENSE

General Provider Information

NPI Number	:	1528393402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAYBREAK, INC.

Provider Business Mailing Address
First Line	:	4150 INTERNATIONAL PLZ STE 820
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-4836
Country	:	US
Telephone Number	:	800-299-5161
Fax Number	:	817-447-3033

Provider Business Practice Location Address
First Line	:	517 MEADOW HILL DR
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-5093
Country	:	US
Telephone Number	:	817-447-2700
Fax Number	:	817-447-3033

Authorized Official
Title or Position	:	LICENSING COORDINATOR
Name	:	BRANDI TURNER
Credential	:
Telephone Number	:	682-707-2756

Provider Enumeration Date	:	10/09/2009
Last Update Date	:	04/29/2025

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Directions to “DAYBREAK, INC. ” Practice Location

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