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BREAKWATER ADULT FAMILY CARE HOME LLC
NPI 1356407704
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Dunnellon, FL

Active since December 29, 2006
22699 SW BREAKWATER BLVD, DUNNELLON, FL 34431(352) 401-7699(352) 401-7698 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Breakwater Adult Family Care Home Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREAKWATER ADULT FAMILY CARE HOME LLC (NPI 1356407704) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Dunnellon, Florida and active in the NPI registry since December 2006. The organization lists Vince Jacobs, Owner, as its authorized official.

NPPES Registry Identity

NPI1356407704
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBREAKWATER ADULT FAMILY CARE HOME LLC
Location Address22699 SW BREAKWATER BLVDDunnellon, FL 34431-4039
Mailing Address22699 Sw Breakwater BlvdDunnellon, FL 34431-4039 · (352) 401-7699 · Fax (352) 401-7698
Phone(352) 401-7699
Fax(352) 401-7698
Organization SubpartNo
Authorized OfficialVince JacobsOwner · (352) 598-0288
Enumeration DateDecember 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1356407704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in FL · 6905655
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
22699 SW BREAKWATER BLVD, Dunnellon, FL 34431
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BREAKWATER ADULT FAMILY CARE HOME, LLC
Day Training, Developmentally Disabled Services
22699 SW BREAKWATER BLVD
DUNNELLON, FL 34431
Marion County (352) 465-4877

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breakwater Adult Family Care Home LLC's NPI number?

The NPI number for Breakwater Adult Family Care Home LLC is 1356407704. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is Breakwater Adult Family Care Home LLC located?

Breakwater Adult Family Care Home LLC is located at 22699 SW Breakwater Blvd, Dunnellon, FL 34431. The listed phone number is (352) 401-7699.

What is Breakwater Adult Family Care Home LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Breakwater Adult Family Care Home LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.