Healthcare Provider Details
I. General information
NPI: 1265216386
Provider Name (Legal Business Name): RECOVERABLE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/21/2023
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7420 WHITEPINE RD
NORTH CHESTERFIELD VA
23237-2200
US
IV. Provider business mailing address
7420 WHITEPINE RD
NORTH CHESTERFIELD VA
23237-2200
US
V. Phone/Fax
- Phone: 804-500-6095
- Fax:
- Phone: 804-690-2204
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 320600000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
MADISON
CULLY
Title or Position: CFO
Credential:
Phone: 804-248-1714