Healthcare Provider Details
I. General information
NPI: 1205833712
Provider Name (Legal Business Name): RECOVER HEALTH OF IOWA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2005
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
535 W BROADWAY STE 201
COUNCIL BLUFFS IA
51503-0831
US
IV. Provider business mailing address
400 INTERSTATE NORTH PKWY SE STE 1600
ATLANTA GA
30339-5047
US
V. Phone/Fax
- Phone: 712-325-8989
- Fax: 712-325-4422
- Phone: 470-464-8000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MATTHEW
BUCKHALTER
Title or Position: CFO
Credential:
Phone: 470-464-8000