DAYMARK RECOVERY SERVICES, INC (NPI# 1346395415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346395415 |
| Entity Type | Organization |
| Organization Name | DAYMARK RECOVERY SERVICES, INC |
| Practice Address |
651 Highland Ave Winston Salem NC 27101-4303 |
| Mailing Address |
284 Executive Park Drive Suite 100 Concord NC 28025-1894 |
| Practice Telephone | 3366578523 |
| Practice Fax Number | 3367230645 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-04-04 |
| Authorized Official Name | MR. BILLY R WEST JR. (PRESIDENT) |
| Authorized Official Telephone | 7049391100 |
| Authorized Official Credential | L.C.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | MHL-034-002 | NC | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300314 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417002676 | Daymark Recovery Services, Inc | Clinic/Center | 301 Hospital St, Mocksville, NC 27028-2060 | 2007-01-25 |
| 1437204690 | Daymark Recovery Services, Inc | Clinic/Center | 741 Spainhour Rd, King, NC 27021-9393 | 2007-01-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DAYMARK RECOVERY SERVICES, INC | 1400 Willow Ln, North Wilkesboro, NC 28659-3551 |
| System for Award Management (SAM) Entities | DAYMARK RECOVERY SERVICES, INC. | 943 W Andrews Ave Ste H, Henderson, NC 27536-2562 |
| Street Address |
651 HIGHLAND AVE |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27101-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013113430 | Daymark Recovery Services Inc | Community/Behavioral Health | 651 Highland Ave, Winston Salem, NC 27101-4303 | 2007-06-22 |
| 1922204346 | Daymark Recovery Services Inc | Community/Behavioral Health | 651 Highland Ave, Winston Salem, NC 27101-4303 | 2007-06-22 |
| 1831395250 | Daymark Recovery Services Inc | Community/Behavioral Health | 651 Highland Ave, Winston Salem, NC 27101-4303 | 2007-06-22 |
| 1376749796 | Daymark Recovery Services Inc | Community/Behavioral Health | 651 Highland Ave, Winston Salem, NC 27101-4303 | 2007-06-22 |
| 1982726725 | Daymark Recovery Services Inc | Community/Behavioral Health | 651 Highland Ave, Winston Salem, NC 27101-4303 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
| 1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
| 1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
| 1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
| Find all providers in zip 27101 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639578214 | School of Dentistry, University of North Carolina | Special Hospital | 436 Brauer Hall Clb # 7450, Dept. of Operative Dentistry, Unc School of Dentistry, Chapel Hill, NC 27599-7450 | 2014-08-19 |
| 1902141310 | Village Animal Hospital, Pa | Special Hospital | 628 Carpenter Ave, Mooresville, NC 28115-2538 | 2012-12-11 |
| 1629516372 | Duke University | Special Hospital | 10207 Cerny St, Raleigh, NC 27617-4879 | 2017-02-02 |
| 1134496672 | Allison Ia Lee | Special Hospital | 212 Mulberry St Sw, Lenoir, NC 28645-5414 | 2011-11-29 |
| 1164666087 | Veteran's Administration | Special Hospital | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2009-04-22 |
| 1073660742 | Duke University Eye Center | Special Hospital | 2351 Erwin Rd, Durham, NC 27710-0001 | 2007-01-04 |
| 1770662348 | Cherokee Indian Hospital Authority | Special Hospital | 1 Hospital Road, Caller Box C-268, Cherokee, NC 28719-9253 | 2006-11-03 |
| 1760426183 | Lenoir Memorial Hospital, Incorporated | Special Hospital | 100 Airport Rd, Kinston, NC 28503-1678 | 2006-06-15 |
| 1831170257 | Mercy Restorative Care Hospital, Inc | Special Hospital | 2001 Vail Ave, Seventh Floor South, Charlotte, NC 28207-1219 | 2005-11-11 |
| City | WINSTON SALEM |
| Zip Code | 27101 |
Please comment or provide details below to improve the information on DAYMARK RECOVERY SERVICES, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.