Provider Demographics
NPI:1619245131
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 1:913 W.N. CARRIER PKWY.
Practice Address - Street 2:GSW DISTRIBUTION CENTER #15
Practice Address - City:GRAND PRARIE
Practice Address - State:TX
Practice Address - Zip Code:75050-1102
Practice Address - Country:US
Practice Address - Phone:502-489-9449
Practice Address - Fax:303-377-1803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-12
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies