Healthcare Provider Details

I. General information

NPI: 1952527855
Provider Name (Legal Business Name): RECOVERY HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12101 LIMA RD
FORT WAYNE IN
46818-8903
US

IV. Provider business mailing address

12101 LIMA RD
FORT WAYNE IN
46818-8903
US

V. Phone/Fax

Practice location:
  • Phone: 260-634-3166
  • Fax: 260-637-3536
Mailing address:
  • Phone: 260-634-3166
  • Fax: 260-637-3536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: PETER A MAROTTI
Title or Position: ADMINISTRATOR
Credential:
Phone: 260-637-3166