MEDICARE: RECOVERABLE, 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	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1265216386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECOVERABLE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 2549
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23058-2549
Country	:	US
Telephone Number	:	908-930-4277
Fax Number	:

Provider Business Practice Location Address
First Line	:	7420 WHITEPINE RD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23237-2200
Country	:	US
Telephone Number	:	804-500-6095
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MADISON CULLY
Credential	:
Telephone Number	:	804-248-1714

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	01/17/2026

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