Healthcare Provider Details

I. General information

NPI: 1548235237
Provider Name (Legal Business Name): RECOVER CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 07/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 KAISER DR. UNIT A
FOLCROFT PA
19032-2123
US

IV. Provider business mailing address

1920 STANLEY GAULT STE 100
LOUISVILLE KY
40223
US

V. Phone/Fax

Practice location:
  • Phone: 610-461-1292
  • Fax: 610-461-1490
Mailing address:
  • Phone: 502-489-9449
  • Fax: 502-736-6685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number6000007455
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number6000006029
License Number StatePA

VIII. Authorized Official

Name: MARY S ZAPPONE
Title or Position: PRESIDENT/CEO
Credential:
Phone: 502-489-9449