DAYBREAK TREATMENT CARE PROGRAM II – NPI #1699809384
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

DAYBREAK TREATMENT CARE PROGRAM II is an AHC clinic located in WEST BERLIN, NJ. NPPES has assigned the NPI number 1699809384 to DAYBREAK TREATMENT CARE PROGRAM II on March 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DAYBREAK TREATMENT CARE PROGRAM II” is a dba name, the actual legal business name for this organization is DAYBREAK TREATMENT CARE, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 15 years ago on Feb 14, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAYBREAK TREATMENT CARE PROGRAM II below.

NPI Profile for
DAYBREAK TREATMENT CARE, LLC

NPI Number
1699809384
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DAYBREAK TREATMENT CARE, LLC
Doing Business As (dba): DAYBREAK TREATMENT CARE PROGRAM II
Primary location
258-68 PINEDGE DR.
WEST BERLIN, NJ 08091
Phone: (856) 753-8111 Fax: (856) 753-3339
Mailing address
P.O. BOX 2136
OCEAN, NJ 07712
Phone: (732) 922-0591 Fax: (732) 922-0593
Organization Subpart
Yes - DAYBREAK TREATMENT CARE PROGRAM II is subpart of another organization.
Authorized Official
JEFFREY GOLDSTEIN
CEO
Phone: (732) 245-8473
Updated
Identifiers

Identifiers for DAYBREAK TREATMENT CARE PROGRAM II

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ0034771
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
NJ 10020-03-05
261QM0850X
- Clinic/Center / Adult Mental Health
NJ 10020-02-05

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.