Provider Demographics
NPI:1154581742
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: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 1:1920 STANLEY GAULT PKWY STE 100
Mailing Address - Street 2:
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:502-489-9401
Practice Address - Street 1:15455 RED HILL AVE
Practice Address - Street 2:STE E/F
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-7313
Practice Address - Country:US
Practice Address - Phone:888-750-7828
Practice Address - Fax:480-921-3877
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
CASRYOHA100-7136760000332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies