Provider Demographics
NPI:1073798260
Name:RECOVERCARE, LLC.
Entity Type:Organization
Organization Name:RECOVERCARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAPPONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-489-9449
Mailing Address - Street 1:1920 STANLEY GAULT PARKWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-4209
Mailing Address - Country:US
Mailing Address - Phone:888-750-5828
Mailing Address - Fax:866-750-7828
Practice Address - Street 1:6150 NE 92ND DR.
Practice Address - Street 2:SUITES 107 & 108
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97220
Practice Address - Country:US
Practice Address - Phone:503-256-9580
Practice Address - Fax:866-750-7828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR12591747332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies