Organization Active NPI

Recovercare LLC

  • Durable Medical Equipment & Medical Supplies
  • Glen Burnie, MD
National Provider Identifier
1104991876
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RECOVERCARE LLC
Practice address
889 Airport Park Rd
Ste J
Glen Burnie, MD 21061
Phone
(410) 553-6619
Fax
(401) 553-6620
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary S Zappone
Title
President/Ceo
Phone
(502) 489-9449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

889 Airport Park Rd
Ste J
Glen Burnie, MD 21061

Mailing address

1920 Stanley Gault Pky
Ste 100
Louisville, KY 40223-4209
Phone (502) 489-9449

Other identifiers 1

IdentifierTypeStateIssuer
631401500MedicaidMD

National Provider Directory

National Provider Directory

Locations

889 Airport Park Rd
Ste J
Glen Burnie, MD 21061
Phone (410) 553-6619

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1104991876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 STANLEY GAULT PKY",
            "address_2": "STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234209",
            "telephone_number": "502-489-9449",
            "fax_number": "502-736-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 AIRPORT PARK RD",
            "address_2": "STE J",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-553-6619",
            "fax_number": "401-553-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "ZAPPONE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "502-489-9449"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "631401500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.