Provider Demographics
NPI:1164625893
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:S
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:502-489-9449
Mailing Address - Fax:502-657-3126
Practice Address - Street 1:5701 AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-5307
Practice Address - Country:US
Practice Address - Phone:813-886-7027
Practice Address - Fax:813-888-5034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL31-980OtherOXYGEN WHOLESALE PERMIT
FL1313317OtherHOME MEDICAL EQUIPMENT
FL1700068368Medicaid
FL1313317OtherHOME MEDICAL EQUIPMENT
FL1700068368Medicaid