Healthcare Provider Details

I. General information

NPI: 1922346675
Provider Name (Legal Business Name): RECOVER AT HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2013
Last Update Date: 01/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7040 CENTENNIAL DR
TINLEY PARK IL
60477-1649
US

IV. Provider business mailing address

7040 CENTENNIAL DR
TINLEY PARK IL
60477-1649
US

V. Phone/Fax

Practice location:
  • Phone: 708-444-4170
  • Fax: 888-677-8847
Mailing address:
  • Phone: 708-444-4170
  • Fax: 888-677-8847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. PHILIP J DE JONG
Title or Position: ADMINISTRATOR
Credential:
Phone: 708-444-4170