Provider Demographics
NPI:1609392208
Name:PERFORMANT RECOVERY, INC.
Entity Type:Organization
Organization Name:PERFORMANT RECOVERY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT, HEALTHCARE
Authorized Official - Prefix:MR
Authorized Official - First Name:SIMEON
Authorized Official - Middle Name:
Authorized Official - Last Name:KOHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-315-0938
Mailing Address - Street 1:333 N CANYONS PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-9480
Mailing Address - Country:US
Mailing Address - Phone:844-424-4866
Mailing Address - Fax:
Practice Address - Street 1:333 N CANYONS PKWY STE 100
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-9480
Practice Address - Country:US
Practice Address - Phone:844-424-4866
Practice Address - Fax:123-456-7890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-16
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/CoderGroup - Multi-Specialty