MEDICARE: THE PROGRAM RECOVERY SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1245188564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE PROGRAM RECOVERY SERVICES LLC

Provider Business Mailing Address
First Line	:	8380 ZUNI ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80221-4778
Country	:	US
Telephone Number	:	720-388-5800
Fax Number	:	303-426-4429

Provider Business Practice Location Address
First Line	:	8380 ZUNI ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80221-4778
Country	:	US
Telephone Number	:	720-388-5800
Fax Number	:	303-426-4429

Authorized Official
Title or Position	:	OWNER
Name	:	DANNYRAY GONZALES
Credential	:
Telephone Number	:	720-388-5800

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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