Healthcare Provider Details

I. General information

NPI: 1316598451
Provider Name (Legal Business Name): RECOVER-CARE MERRIAM GARDENS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2019
Last Update Date: 01/17/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 W 62ND ST
SHAWNEE KS
66203-3220
US

IV. Provider business mailing address

9700 W 62ND ST
SHAWNEE KS
66203-3220
US

V. Phone/Fax

Practice location:
  • Phone: 913-384-0800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

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