MEDICARE: RECOVERY HOME HEALTHCARE SYSTEMS

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	332BX2000X	Oxygen Equipment & Supplies (DME)		TX

General Provider Information

NPI Number	:	1962670356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECOVERY HOME HEALTHCARE SYSTEMS

Provider Business Mailing Address
First Line	:	2620 W PIONEER PKWY
Second Line	:	STE: 101
City	:	ARLINGTON
State	:	TX
Zip	:	76013-5904
Country	:	US
Telephone Number	:	817-303-2277
Fax Number	:

Provider Business Practice Location Address
First Line	:	2620 W PIONEER PKWY
Second Line	:	STE: 101
City	:	ARLINGTON
State	:	TX
Zip	:	76013-5904
Country	:	US
Telephone Number	:	817-303-2277
Fax Number	:

Authorized Official
Title or Position	:	VICE-PRESIDENT
Name	:	MR. ALEX GONZALEZ
Credential	:
Telephone Number	:	817-303-2277

Provider Enumeration Date	:	02/19/2008
Last Update Date	:	08/23/2010

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