DAYBREAK CANYON LLC – NPI #1568758720
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

DAYBREAK CANYON LLC is a residential treatment facility located in KELLOGG, ID. NPPES has assigned the NPI number 1568758720 to DAYBREAK CANYON LLC on June 24, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 10 years ago on Mar 18, 2016. 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 CANYON LLC below.

NPI Profile for
DAYBREAK CANYON LLC

NPI Number
1568758720
Enumeration Date

(about 15 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 CANYON LLC
Primary location
1229 COUNTRY CLUB RD.
KELLOGG, ID 83837
Phone: (208) 784-1433 Fax: (877) 580-3806
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LAURENCE MCARTHUR
MEMBER, CEO
Phone: (208) 312-4117
Updated
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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
ID 31306

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.