BREAKWATER ADULT FAMILY CARE HOME, LLC
NPI 1396712477
Day Training, Developmentally Disabled Services in Dunnellon, FL

Active since March 07, 2006
22699 SW BREAKWATER BLVD, DUNNELLON, FL 34431(352) 465-4877(352) 465-8033 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 1396712477) is a healthcare organization registered as a day training, developmentally disabled services in Dunnellon, Florida and active in the NPI registry since March 2006. The organization lists Vince L Jacobs, Owner-provider, as its authorized official.

NPPES Registry Identity

NPI1396712477
Entity TypeOrganization
Primary Taxonomy251C00000X
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) 465-4877 · Fax (352) 465-8033
Fax(352) 465-8033
Organization SubpartNo
Authorized OfficialVince L JacobsOwner-provider · (352) 465-4877
Enumeration DateMarch 7, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1396712477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251C00000X
License Licensed in FL · 6905655
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
22699 SW BREAKWATER BLVD, Dunnellon, FL 34431

Other Providers at the Same Location NPPES

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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
22699 SW BREAKWATER BLVD
DUNNELLON, FL 34431

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 1396712477. It was assigned to this organization in the NPPES registry on March 7, 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) 465-4877.

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

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

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.