Provider Demographics
NPI:1194246033
Name:NICE RECOVERY SYSTEMS LLC
Entity type:Organization
Organization Name:NICE RECOVERY SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:STEWART
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-675-7700
Mailing Address - Street 1:4760 WALNUT ST STE 106
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-2561
Mailing Address - Country:US
Mailing Address - Phone:888-815-9907
Mailing Address - Fax:303-568-7470
Practice Address - Street 1:2205 CENTRAL AVE STE A
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2896
Practice Address - Country:US
Practice Address - Phone:888-815-9907
Practice Address - Fax:303-568-7470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-30
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies