Provider Demographics
NPI:1417357609
Name:RECOVERCARE, LLC
Entity type:Organization
Organization Name:RECOVERCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEGAL & COMPLIANCE ASSC.
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-489-9449
Mailing Address - Street 1:1920 STANELY GAULT PKWY
Mailing Address - Street 2:STE 100
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223
Mailing Address - Country:US
Mailing Address - Phone:888-750-7828
Mailing Address - Fax:800-750-7828
Practice Address - Street 1:65 S. TURNPIKE RD
Practice Address - Street 2:UNIT C
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492
Practice Address - Country:US
Practice Address - Phone:818-378-6705
Practice Address - Fax:800-750-7828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCSW.000315332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies