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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 6005370 | 05 |
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 |
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 |
284 EXECUTIVE PARK DRIVE SUITE 100 |
City | CONCORD |
State | NC |
Zip Code | 28025-1894 |
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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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 Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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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.