Healthcare Provider Details

I. General information

NPI: 1447609565
Provider Name (Legal Business Name): RECOVERY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2016
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 CARROLL AVE
KEYSER WV
26726-5022
US

IV. Provider business mailing address

207 N 14TH ST
JEANNETTE PA
15644-1679
US

V. Phone/Fax

Practice location:
  • Phone: 304-790-7467
  • Fax:
Mailing address:
  • Phone: 855-502-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HEATHER LYNN ROSEN
Title or Position: CEO
Credential: M.D.
Phone: 724-994-6839