Provider Demographics
NPI:1326208927
Name:RECOVERCARE, LLC
Entity Type:Organization
Organization Name:RECOVERCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESDIENT & CEO
Authorized Official - Prefix:MS
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 1:3599 MARSHALL LN
Mailing Address - Street 2:STE F
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-5931
Mailing Address - Country:US
Mailing Address - Phone:800-575-2337
Mailing Address - Fax:800-772-4811
Practice Address - Street 1:150 N RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:NORTHLAKE
Practice Address - State:IL
Practice Address - Zip Code:60164-1607
Practice Address - Country:US
Practice Address - Phone:502-489-9449
Practice Address - Fax:603-295-9156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-17
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL29791596332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL203-001120OtherHOME MEDICAL EQUIPMENT