DAGAMAC ENTERPRISES LLC (NPI# 1801047808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801047808 |
| Entity Type | Organization |
| Organization Name | DAGAMAC ENTERPRISES LLC |
| Other Organization Name | NEW HORIZONS COUNSELING/BROKEN WINGS PGM |
| Practice Address |
441 Hopkinsville St Greenville KY 42345-1101 |
| Practice Telephone | 2703382280 |
| Practice Fax Number | 2703380795 |
| Mailing Telephone | 2703382280 |
| Mailing Fax Number | 2703380795 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |
| Authorized Official Name | MR. DARRYL WADE MCINTOSH (COUNSELOR/THERAPIST) |
| Authorized Official Telephone | 2703382280 |
| Authorized Official Credential | CADC, MACA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
KY-0191 | KY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| New Horizons Counseling/Broken Wings Pgm | Doing Business As Name - Organization |
| Street Address |
441 HOPKINSVILLE ST |
| City | GREENVILLE |
| State | KY |
| Zip Code | 42345-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891006730 | Welborn Family Practice | Nurse Practitioner | 441 Hopkinsville St, Greenville, KY 42345-1101 | 2010-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669607917 | Felicia Wells | Speech-Language Pathologist | 515 Greene Drive, Greenville, KY 42345 | 2009-05-15 |
| 1992968085 | Roberta A Shelton | Occupational Therapist | 515 Green Drive, Greenville, KY 42345 | 2008-07-08 |
| 1659547503 | Kellyn Jones | Counselor | 506 W. Hopkinsville St, Greenville, KY 42345 | 2008-05-01 |
| 1922134956 | Guinn Shaw Cost Jr. | Family Medicine | 132 Sara's Lane, Greenville, KY 42345 | 2007-02-26 |
| 1205883949 | Katharine S Cox | Emergency Medicine | 504 Hopkinsville St, Greenville, KY 42345 | 2006-05-28 |
| 1265922447 | George Michael Garrett | Nurse Practitioner | 440 Hopkinsville St, Greenville, KY 42345 | 2018-05-14 |
| 1376088930 | Community Health Centers of Western Kentucky Inc | Social Worker | 226 Hopkinsville St, Greenville, KY 42345 | 2017-01-05 |
| 1982009585 | Kentucky Emergency I Services Psc | Physician Assistant | 440 Hopkinsville St, Greenville, KY 42345 | 2014-10-27 |
| 1538447016 | Christina N Buckley | Nurse Practitioner | 440 Hopkinsville St, Greenville, KY 42345 | 2011-08-01 |
| 1245542331 | James Derek Calhoun | Nurse Practitioner | 440 Hopkinsville St, Greenville, KY 42345 | 2010-07-06 |
| Find all providers in zip 42345 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1891795738 | Greenville County Commission On Alcohol and Drug Abuse | Clinic/Center | 1400 Cleveland St, Greenville, SC 29607-2410 | 2005-07-21 |
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| 1093179335 | Greenville County Commission On Alcohol and Drug Abuse | Clinic/Center | 1400 Cleveland St, Greenville, SC 29607-2410 | 2016-04-13 |
| 1053719518 | Genesis Counseling Services, LLC | Clinic/Center | 2320 E North St, Ste. Rr105, Greenville, SC 29607-1247 | 2014-12-16 |
| 1023345139 | Pavillon Greenville Outpatient Services | Clinic/Center | 125 Pelham Commons Blvd, Greenville, SC 29615-4974 | 2009-11-10 |
| 1457417289 | Addiction Treatment Resources, LLC | Clinic/Center | 4702 Wesley St Ste D, Greenville, TX 75401-5663 | 2006-12-28 |
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| 1902442585 | Lake Cumberland Recovery, Inc | Clinic/Center | 8294 S Highway 27, Burnside, KY 42519-9412 | 2019-11-19 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
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| 1063999761 | Landmark Recovery Outpatient Services LLC | Clinic/Center | 4112 Fern Valley Rd Ste B, Louisville, KY 40219-1973 | 2018-07-25 |
| 1144723453 | Rose of Sharon House | Clinic/Center | 865 W Shelby St, Junction City, KY 40440-8502 | 2018-03-13 |
| 1477062487 | New Legacy Recovery LLC | Clinic/Center | 1510 Newtown Pike Ste 120, Lexington, KY 40511-1255 | 2017-09-21 |
| 1710426960 | The Liberty Ranch Rehabilitation Center | Clinic/Center | 2735 Ky Highway 501, Kings Mountain, KY 40442-9761 | 2017-02-21 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 42345 |
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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.