Provider Demographics
NPI:1174608483
Name:RECOVER CARE LLC
Entity type:Organization
Organization Name:RECOVER CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCKIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-750-7828
Mailing Address - Street 1:3599 MARSHALL LN
Mailing Address - Street 2:UNIT F
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-5931
Mailing Address - Country:US
Mailing Address - Phone:800-995-9976
Mailing Address - Fax:610-940-9185
Practice Address - Street 1:#15 BONAZZOLI AVE
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-2871
Practice Address - Country:US
Practice Address - Phone:888-750-7828
Practice Address - Fax:978-568-0674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYW01032332B00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies