DAYMARK RECOVERY SERVICES, INC.


Address: 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894
Phone: 7049391100

DAYMARK RECOVERY SERVICES, INC. (NPI# 1558329243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558329243
Entity Type Organization
Organization Name DAYMARK RECOVERY SERVICES, INC.
Practice Address 284 Executive Park Drive
Suite 100
Concord
NC 28025-1894
Practice Telephone 7049391100
Practice Fax Number 7049391173
Mailing Telephone 7049391100
Mailing Fax Number 7049391173
Enumeration Date 2006-05-02
Last Update Date 2014-11-21
Authorized Official Name MR. BILLY R WEST JR. (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7049391154
Authorized Official Credential MSW, LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers
N 101Y00000X Counselor Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
N 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 104100000X Social Worker Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
MHL-013-056 NC Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 6005370 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1396885711 Daymark Recovery Services, Inc. Counselor 1104 A South Main St, Lexington, NC 27292-3134 2007-02-07
1861531345 Daymark Recovery Services, Inc. Behavioral Analyst 2129 Statesville Blvd, Salisbury, NC 28147-1411 2007-02-05

Other Data Sources

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

Office Location

Street Address 284 EXECUTIVE PARK DRIVE
SUITE 100
City CONCORD
State NC
Zip Code 28025-1894

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962955542 Anson Castelvecchi Registered Nurse 284 Executive Park Drive, Daymark Recovery Services, Concord, NC 28025 2016-07-29
1851731780 Ashley Lynn Searing Counselor 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 2013-06-25
1922366988 Lorraine Rushing Counselor 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 2012-04-27
1093081929 Sandra Veniece Smiley Licensed Practical Nurse 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 2012-03-26
1821368887 Michelle Marie Hossinei Counselor 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 2012-01-09
1437427580 Jenny Blankenship Hammer Registered Nurse 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 2011-12-05
1346518495 Sheila Renee Massenburg Counselor 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 2011-12-05
1629346770 Lisa Cox Laird Counselor 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 2011-12-05
1265700314 Sam Franklin Griffin Counselor 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 2011-12-05
1174891220 Amanda Shew Wilson Registered Nurse 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 2011-12-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053910729 Renewed Mindset Therapeutic Services, Pllc Social Worker 349 Copperfield Blvd Suite L #334, Concord, NC 28025 2020-10-22
1194284380 Carolinas Physicians Network Inc Internal Medicine 610 Alfred Brown Jr. Court, Concord, NC 28025 2019-03-18
1164913596 Damarius Raymond Faggart Counselor 503 Amhurst Drive, Concord, NC 28025 2018-05-22
1437677085 Kathryn Emily Kanauer Counselor 280 Executive Park Dr Ne, Concord, NC 28025 2017-09-05
1649794439 Foster Health & Homecare, LLC Home Health 363 Church Street North, Suite 260-i, Concord, NC 28025 2017-08-02
1326569336 Jessie Leigh Tilley-compton Social Worker 371 Amhurst St Sw, Concord, NC 28025 2017-06-29
1609305663 Sarah Katherine Thompson Licensed Practical Nurse 248 Executive Park Dr, Concord, NC 28025 2017-06-05
1023463098 Kiera Brown Social Worker 219 Lephillip Court, Concord, NC 28025 2016-04-27
1992169445 Brittiny N. Ingram Vanterpool Counselor 250 Branchview Dr Sw, Concord, NC 28025 2016-04-11
1215399852 The Charlotte-mecklenburg Hospital Authority Clinic/Center 840 Warren C. Coleman Blvd, Concord, NC 28025 2016-03-23
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1891330056 Veritas Collaborative Charlotte, LLC Clinic/Center 1900 Scott Ave Ste 101, Charlotte, NC 28203-6046 2019-11-12
1770135808 American Family Care Fuquay Pllc Clinic/Center 1298 N Main St, Fuquay Varina, NC 27526-2615 2019-07-09
1508424029 Shelly Renea Obasoluyi Clinic/Center 403 Atwell Dr, Fayetteville, NC 28314-0122 2019-05-30
1215593819 Wilmington Health Pllc Clinic/Center 1811 Tiburon Dr, Wilmington, NC 28403-6254 2019-05-20
1003472804 Loginclinics, Pllc Clinic/Center 1324 Reservoir View Ln, Wake Forest, NC 27587-1836 2019-05-16
1124586060 Bethany Christian Services of Nc Clinic/Center 1110 Navaho Dr Ste 109, Raleigh, NC 27609-7352 2019-03-11
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Competitor

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City CONCORD
Zip Code 28025

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Dataset Information

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.

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