MEDICARE: BIG IKES RECOVERY HEALTH SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1417873449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIG IKES RECOVERY HEALTH SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	2832 WESTWIND CIR APT 1107
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-2952
Country	:	US
Telephone Number	:	817-210-8620
Fax Number	:

Provider Business Practice Location Address
First Line	:	2832 WESTWIND CIR APT 1107
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-2952
Country	:	US
Telephone Number	:	817-210-8620
Fax Number	:

Authorized Official
Title or Position	:	OWNER AND CEO
Name	:	DENNIS SWANSON
Credential	:
Telephone Number	:	817-210-8620

Provider Enumeration Date	:	06/24/2026
Last Update Date	:	06/24/2026

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