Daybreak, INC.
Intermediate Care Facility, Intellectual Disabilities in Desoto, TX. Organization (NPI-2).
NPI number1033443288
StatusActive
Last updated in NPPESDec 16, 2025
Details
- NPI
- 1033443288
- Entity type
- Organization (NPI-2)
- Legal business name
- Daybreak, INC.
- Organization subpart
- No
- Enumeration date
- Sep 21, 2009
- Certification date
- Dec 16, 2025
- Last updated
- Dec 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – |
Other names
- Devonshire Home (Doing Business As)
Practice location
1225 Devonshire DrDesoto, TX 75115-3757
Phone 800-299-5161 · Fax 817-447-3033
Mailing address
4150 International Plz Ste 820Fort Worth, TX 76109-4836
Phone 817-289-8450
Authorized official
Kathryn Penkala
Director Of Credentialing
8172898450
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