Provider Demographics
NPI:1902411531
Name:LIMELITE RECOVERY INC.
Entity Type:Organization
Organization Name:LIMELITE RECOVERY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KHANUKO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAKHAMINOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-866-0166
Mailing Address - Street 1:1599 E 15TH ST 5TH FL. STE B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230
Mailing Address - Country:US
Mailing Address - Phone:718-866-0166
Mailing Address - Fax:347-579-0053
Practice Address - Street 1:1599 E 15TH ST 5TH FL. STE B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230
Practice Address - Country:US
Practice Address - Phone:718-866-0166
Practice Address - Fax:347-579-0053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies