NPIMap

Organization Active NPI

Recovercare, LLC

  • Durable Medical Equipment & Medical Supplies
  • Wallingford, CT
National Provider Identifier
1417357609
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
CSW.000315 Issued in CT
Legal business name
RECOVERCARE, LLC
Practice address
65 S. Turnpike Rd
Unit C
Wallingford, CT 06492
Phone
(818) 378-6705
Fax
(800) 750-7828
NPI assigned
Aug 26, 2014
Last updated
Aug 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Mrs. Jennifer L Watts
Title
Legal & Compliance Assc.
Phone
(502) 489-9449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X CSW.000315 CT Primary

Addresses

Primary practice location

65 S. Turnpike Rd
Unit C
Wallingford, CT 06492

Mailing address

1920 Stanely Gault Pkwy
Ste 100
Louisville, KY 40223
Phone (888) 750-7828

National Provider Directory

National Provider Directory
Tax ID family
Recovercare LLC38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Locations

65 S Turnpike Rd
Unit C
Wallingford, CT 06492
Phone (818) 378-6705

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1417357609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 STANELY GAULT PKWY",
            "address_2": "STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40223",
            "telephone_number": "888-750-7828",
            "fax_number": "800-750-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 S. TURNPIKE RD",
            "address_2": "UNIT C",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "818-378-6705",
            "fax_number": "800-750-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LEGAL & COMPLIANCE ASSC.",
        "authorized_official_telephone_number": "502-489-9449",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "CSW.000315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.