Provider Demographics
NPI:1235615881
Name:RECOUP HOME HEALTH
Entity Type:Organization
Organization Name:RECOUP HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:INKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-655-0599
Mailing Address - Street 1:4421 W RIVERSIDE DR STE 204
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4051
Mailing Address - Country:US
Mailing Address - Phone:818-655-0599
Mailing Address - Fax:818-659-3161
Practice Address - Street 1:4421 W RIVERSIDE DR STE 204
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4051
Practice Address - Country:US
Practice Address - Phone:818-655-0599
Practice Address - Fax:818-659-3161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-17
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health