DAYMARK RECOVERY SERVICES (NPI# 1629400056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629400056 |
| Entity Type | Organization |
| Organization Name | DAYMARK RECOVERY SERVICES |
| Practice Address |
284 Executive Park Dr Concord NC 28025-1831 |
| Practice Telephone | 7049391100 |
| Practice Fax Number | 7049391173 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |
| Authorized Official Name | MS. DEIRDRE ANN POLSGROVE (CLINICIAN) |
| Authorized Official Telephone | 7049391100 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DEIRDRE POLSGROVE | 101Y00000X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639620511 | Daymark Recovery Services | Community/Behavioral Health | 284 Executive Park Dr, Concord, NC 28025-1831 | 2016-10-17 |
| 1982063384 | Daymark Recovery Services | Nursing Care | 284 Executive Park Dr, Ste 100, Concord, NC 28025-1831 | 2016-02-15 |
| 1275965113 | Daymark Recovery Services | Community/Behavioral Health | 360 Beech St, Newland, NC 28657-9670 | 2013-08-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DAYMARK RECOVERY SERVICES INC | 360 Beech St, Newland, NC 28657-9670 |
| 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 DR |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326030792 | Lacy Henry Miller | Nurse Practitioner | 284 Executive Park Dr, Concord, NC 28025-1831 | 2005-08-22 |
| 1326502204 | Tiffany Robinson Hooker | Counselor | 284 Executive Park Dr, Concord, NC 28025-1831 | 2019-01-25 |
| 1710464961 | Christine Ann Still | Social Worker | 284 Executive Park Dr, Concord, NC 28025-1831 | 2018-07-20 |
| 1457838732 | Justine Mohre | Social Worker | 284 Executive Park Dr, Concord, NC 28025-1831 | 2018-07-19 |
| 1821598608 | Holly Hall Hatley | Licensed Practical Nurse | 284 Executive Park Dr, Concord, NC 28025-1831 | 2018-02-18 |
| 1063946432 | Lisa Crowder | Licensed Practical Nurse | 284 Executive Park Dr, Ste 100, Concord, NC 28025-1831 | 2017-04-12 |
| 1215474267 | Julia Bentley | Counselor | 284 Executive Park Dr, Concord, NC 28025-1831 | 2017-01-30 |
| 1760929798 | Richard Moore | Counselor | 284 Executive Park Dr, Suite100, Concord, NC 28025-1894 | 2017-01-29 |
| 1760928352 | Latehia Cade | Licensed Practical Nurse | 284 Executive Park Dr, Ste 100, Concord, NC 28025-1831 | 2017-01-06 |
| 1811432818 | Tiffany Moss | Counselor | 284 Executive Park Dr, Ste 100, Concord, NC 28025-1831 | 2016-12-29 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568928349 | Vida for Autism, LLC | Community/Behavioral Health | 2613 Richard Ave, Concord, CA 94520-4737 | 2019-02-16 |
| 1356821433 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 1470 Civic Ct Ste 100, Concord, CA 94520-5290 | 2018-08-17 |
| 1003332693 | Monarch | Community/Behavioral Health | 354 Spring St Sw, Concord, NC 28025-5041 | 2017-08-16 |
| 1902333636 | Diana's Homecare, Inc | Community/Behavioral Health | 616 Samuel Adams Cir Sw, Concord, NC 28027-0133 | 2017-05-12 |
| 1013460211 | 1st Step Recovery Services LLC | Community/Behavioral Health | 10912 Mccamie Hill Pl, Concord, NC 28025-9153 | 2016-07-25 |
| 1003265869 | Milestones of North Carolina | Community/Behavioral Health | 84 Church St Ne, Concord, NC 28025-4757 | 2016-06-11 |
| 1720437924 | First Place for Youth | Community/Behavioral Health | 2702 Clayton Rd Ste 207, Concord, CA 94519-2747 | 2016-06-08 |
| 1407216377 | Rha Behavioral Health Nc LLC | Community/Behavioral Health | 82 Union St S, Ste D, Concord, NC 28025-5061 | 2016-03-04 |
| 1831578160 | Rising Hope Clinical Assistance LLC | Community/Behavioral Health | 7 Todd Dr Ne, Concord, NC 28025-3132 | 2015-05-19 |
| 1053736744 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2355 Whitman Rd Ste F, Concord, CA 94518 | 2014-03-04 |
| Find all providers in CONCORD | ||||
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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.