MEDICARE: RECOVERY CARE ASSOCIATES 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	251B00000X	Case Management Agency	SW3115	FL

General Provider Information

NPI Number	:	1992165849
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECOVERY CARE ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	2701 VILLAGE BLVD
Second Line	:	SUITE 201
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6945
Country	:	US
Telephone Number	:	305-725-3125
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 VILLAGE BLVD
Second Line	:	SUITE 201
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6945
Country	:	US
Telephone Number	:	407-864-9312
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	IAN SHELLY SILBERT
Credential	:	LCSW, ACSW, PHD.
Telephone Number	:	305-725-3125

Provider Enumeration Date	:	03/03/2016
Last Update Date	:	05/04/2016

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