MEDICARE: RECOVER HEALTH OF MINNESOTA, INC.

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	251E00000X	Home Health Agency	328386	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598768350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECOVER HEALTH OF MINNESOTA, INC.

Provider Business Mailing Address
First Line	:	400 INTERSTATE NORTH PKWY SE STE 1600
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-5047
Country	:	US
Telephone Number	:	470-464-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	302 E HOWARD ST STE 116
Second Line	:
City	:	HIBBING
State	:	MN
Zip	:	55746-1772
Country	:	US
Telephone Number	:	218-262-5887
Fax Number	:	218-262-6228

Authorized Official
Title or Position	:	CFO
Name	:	MATTHEW BUCKHALTER
Credential	:
Telephone Number	:	470-464-8000

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	01/28/2025

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