Healthcare Provider Details

I. General information

NPI: 1013811173
Provider Name (Legal Business Name): RESCONNECT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 LITTLE BROOK CIR
MILLS RIVER NC
28759-0158
US

IV. Provider business mailing address

132 LITTLE BROOK CIR
MILLS RIVER NC
28759-0158
US

V. Phone/Fax

Practice location:
  • Phone: 202-992-9296
  • Fax:
Mailing address:
  • Phone: 202-992-9296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JOHN KOSMEH
Title or Position: CEO/FOUNDER9104652209
Credential:
Phone: 910-465-2209