MEDICARE: RECOVERY HOME CARE SERVICES, 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	261QR0400X	Rehabilitation Clinic/Center	HCC6067	FL
2	261QR0400X	Rehabilitation Clinic/Center	HCC6955	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Q2O	OTHER	FL	BCBS OF FL PROVIDER #

General Provider Information

NPI Number	:	1740337849
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECOVERY HOME CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	1897 PALM BEACH LAKES BLVD
Second Line	:	SUITE 207
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-3507
Country	:	US
Telephone Number	:	561-683-9923
Fax Number	:	561-683-9929

Provider Business Practice Location Address
First Line	:	1897 PALM BEACH LAKES BLVD
Second Line	:	SUITE 207
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-3507
Country	:	US
Telephone Number	:	561-683-9923
Fax Number	:	561-683-9929

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MR. BRYAN CONKLIN
Credential	:
Telephone Number	:	561-683-9923

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	08/22/2020

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