NPIMap

Organization Active NPI

Recovercare LLC

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
National Provider Identifier
1902893159
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
1920 Stanley Gault Pky
Ste 100
Louisville, KY 40223-4209
Phone
(502) 489-9449
Fax
(502) 736-6685
NPI assigned
Oct 3, 2005
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X W01032 KY
Durable Medical Equipment & Medical Supplies 332B00000X W02455 KY
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1920 Stanley Gault Pky
Ste 100
Louisville, KY 40223-4209

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
90004482MedicaidKY

Other names 1

  • Medastat USA Former legal business name

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

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1902893159",
    "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": "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "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": "KY",
            "license": "W01032",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "W02455",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90004482",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medastat USA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Louisville, KY

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.