NPIMap

Organization Active NPI

Recovercare, LLC

  • Customized Equipment (DME)
  • Sacramento, CA
National Provider Identifier
1962674762
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
10071367600002 Issued in CA
Legal business name
RECOVERCARE, LLC
Practice address
4360 Pinell St
Sacramento, CA 95838-2928
Phone
(916) 646-2031
NPI assigned
Apr 1, 2008
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
Ms. Mary S Zappone
Title
President /Ceo
Phone
(502) 489-9449

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 10071367600002 CA
Customized Equipment (DME) 332BC3200X 10071367600002 CA Primary

Addresses

Primary practice location

4360 Pinell St
Sacramento, CA 95838-2928

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
200369260MedicaidIN
645697MedicaidAZ

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

4360 Pinell St
Sacramento, CA 95838
Phone (916) 646-2031

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1962674762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 STANLEY GAULT PARKWAY",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234209",
            "telephone_number": "502-489-9449",
            "fax_number": "502-657-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 PINELL ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958382928",
            "telephone_number": "916-646-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "10071367600002",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "10071367600002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200369260",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "645697",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

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.