DAYMARK RECOVERY SERVICES INC NPI 1376749796

Community/Behavioral Health in Winston Salem, NC

Organization Community/Behavioral Health

About DAYMARK RECOVERY SERVICES INC

Daymark Recovery Services Inc is a provider established in Winston Salem, North Carolina specializing in community/behavioral health. The NPI number of Daymark Recovery Services Inc is 1376749796 and was assigned on June 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Billy R West Jr. L.c.s.w. (President)

NPI

1376749796

Provider NameDAYMARK RECOVERY SERVICES INC
Provider Location Address651 HIGHLAND AVE WINSTON SALEM, NC 27101
Provider Mailing Address1305 S CANNON BLVD KANNAPOLIS, NC 28083
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-22-2007
Last Update Date07-16-2007

Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
Taxonomy DescriptionA 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.

Business Address

DAYMARK RECOVERY SERVICES INC
651 HIGHLAND AVE
WINSTON SALEM, NC
ZIP 27101
Phone: (336) 657-8523
Fax: (336) 723-0645

Get Directions

Mailing Address

DAYMARK RECOVERY SERVICES INC
1305 S CANNON BLVD
KANNAPOLIS, NC
ZIP 28083
Phone:

Authorized Official

Authorized Official NameMR. BILLY R WEST JR. L.C.S.W.
Authorized Official TitlePRESIDENT
Authorized Official Phone(704) 939-1100

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
8300314FMEDICAID (05)NC

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013113430DAYMARK RECOVERY SERVICES INC
Organization
Community/Behavioral Health651 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 657-8523
1346395415DAYMARK RECOVERY SERVICES, INC
Organization
Special Hospital651 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 657-8523
1831395250DAYMARK RECOVERY SERVICES INC
Organization
Community/Behavioral Health651 HIGHLAND AVE
WINSTON SALEM, NC 27101
(704) 939-1100
1922204346DAYMARK RECOVERY SERVICES INC
Organization
Community/Behavioral Health651 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 657-8523
1982726725DAYMARK RECOVERY SERVICES INC
Organization
Community/Behavioral Health651 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 657-8523

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.