MEDICARE: RECOVERY PATH HEALTHCARE 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	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1760285241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECOVERY PATH HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	1261 CAROLINE ST NE APT 212
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30307-2786
Country	:	US
Telephone Number	:	310-693-1160
Fax Number	:

Provider Business Practice Location Address
First Line	:	1261 CAROLINE ST NE APT 212
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30307-2786
Country	:	US
Telephone Number	:	310-693-1160
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. VINCENT MCMILLIAN JR.
Credential	:
Telephone Number	:	310-693-1160

Provider Enumeration Date	:	03/31/2025
Last Update Date	:	04/01/2025

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Directions to “RECOVERY PATH HEALTHCARE LLC ” Practice Location

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