DAYBREAK YOUTH SERVICES – NPI #1306851175
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

DAYBREAK YOUTH SERVICES is a substance abuse rehabilitation facility located in BRUSH PRAIRIE, WA. NPPES has assigned the NPI number 1306851175 to DAYBREAK YOUTH SERVICES on July 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

The NPI profile was previously updated about 4 years ago on Sep 22, 2022. 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 YOUTH SERVICES below.

NPI Profile for
DAYBREAK YOUTH SERVICES

NPI Number
1306851175
Enumeration Date

(about 20 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 YOUTH SERVICES
Primary location
11910 NE 154TH ST
BRUSH PRAIRIE, WA 98606
Phone: (360) 750-9588 Fax: (509) 459-3920
Mailing address
960 E 3RD AVE
SPOKANE, WA 99202-2241
Phone: (509) 444-7033 Fax: (509) 927-1851
Organization Subpart
No
Authorized Official
THOMAS RUSSELL
CEO
Phone: (509) 444-7033
Updated
Certification Date
Sep 22, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DAYBREAK YOUTH SERVICES

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
otherWA STATE DBHRWA200451
medicaidWA1007226
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.

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.