Provider Demographics
NPI:1548235237
Name:RECOVER CARE LLC
Entity Type:Organization
Organization Name:RECOVER CARE 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
Mailing Address - Street 2:STE 100
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223
Mailing Address - Country:US
Mailing Address - Phone:502-489-9449
Mailing Address - Fax:502-736-6685
Practice Address - Street 1:525 KAISER DR.
Practice Address - Street 2:UNIT A
Practice Address - City:FOLCROFT
Practice Address - State:PA
Practice Address - Zip Code:19032-2123
Practice Address - Country:US
Practice Address - Phone:610-461-1292
Practice Address - Fax:610-461-1490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-17
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000007455332B00000X
332B00000X
PA6000006029332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019458570001Medicaid
PA19458570001Medicaid
PAPA-13359OtherDEPARTMENT OF LABOR
PA0019458570001Medicaid
PA19458570001Medicaid