MEDICARE: HOTEL RECOVERY, 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	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1902041874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOTEL RECOVERY, INC.

Provider Business Mailing Address
First Line	:	300 1ST AVE
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02494-2736
Country	:	US
Telephone Number	:	617-542-9991
Fax Number	:	781-455-9993

Provider Business Practice Location Address
First Line	:	300 1ST AVE
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02494-2736
Country	:	US
Telephone Number	:	617-542-9991
Fax Number	:	781-455-9993

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANDREW L. STERNLICHT
Credential	:	M.D.
Telephone Number	:	617-542-9991

Provider Enumeration Date	:	12/08/2008
Last Update Date	:	12/08/2008

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Directions to “HOTEL RECOVERY, INC. ” Practice Location

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