Healthcare Provider Details

I. General information

NPI: 1265065932
Provider Name (Legal Business Name): RECOVER-CARE MEADOWBROOK REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2020
Last Update Date: 01/17/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 W MAIN ST
GARDNER KS
66030-1183
US

IV. Provider business mailing address

2420 KNAPP ST
BROOKLYN NY
11235-1006
US

V. Phone/Fax

Practice location:
  • Phone: 913-856-8747
  • Fax:
Mailing address:
  • Phone: 718-942-3483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: ZISHA MARGULIES
Title or Position: CEO
Credential:
Phone: 718-942-3483