Organization · Type 2 NPI

Daybreak, Inc.

Intellectual Disabilities Intermediate Care Facility · San Angelo, TX

NPI number 1033759758 Active

Practice location

4801 Bermuda Dr
San Angelo, TX 76904-7204

Call (877) 659-3108 Map

Fax (325) 657-9237

Mailing address

4150 International Plz Ste 820
Fort Worth, TX 76109-4836

Specialties and licenses

Taxonomy	Code	License
Intellectual Disabilities Intermediate Care Facility Primary	315P00000X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	320900000X	None listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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NPI record

NPI: 1033759758
Entity type: Organization (Type 2)
Issued: Jan 10, 2020
Last updated: Dec 16, 2025
Status: Active
Subpart: Yes of Daybreak, Inc.

Other names

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4801 Bermuda DR · doing business as
4801 Bermuda DR · doing business as

Authorized official

Kathryn Penkala
Director of Credentialing
(817) 289-8450

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033759758

Daybreak, Inc.'s National Provider Identifier is 1033759758, issued on Jan 10, 2020. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in San Angelo, TX. The record was last updated on Dec 16, 2025.