Healthcare Provider Details
I. General information
NPI: 1679497218
Provider Name (Legal Business Name): RECOVERED HUMANS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3983 ROLLINGWOOD DR
LOVELAND CO
80538-4824
US
IV. Provider business mailing address
3983 ROLLINGWOOD DR
LOVELAND CO
80538-4824
US
V. Phone/Fax
- Phone: 833-383-3221
- Fax:
- Phone: 833-383-3221
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MISS
LAURA
BURKHALTER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 601-334-3084