1770906901 NPI number — COVE RECOVERY, LLC FORMERLY J. DAVID COLLINS AND ASSOCIATES, LLC)

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770906901 NPI number — COVE RECOVERY, LLC FORMERLY J. DAVID COLLINS AND ASSOCIATES, LLC)

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COVE RECOVERY, LLC FORMERLY J. DAVID COLLINS AND ASSOCIATES, LLC)
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770906901
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/12/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
540 RIVERSIDE DRIVE
Provider Second Line Business Mailing Address:
SUITE 8
Provider Business Mailing Address City Name:
SALISBURY
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21801-5352
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-548-3333
Provider Business Mailing Address Fax Number:
410-548-3341

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
828 AIRPAX ROAD
Provider Second Line Business Practice Location Address:
BUILDING B, SUITE 300
Provider Business Practice Location Address City Name:
CAMBRIDGE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21613-6401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-548-3333
Provider Business Practice Location Address Fax Number:
410-548-3341
Provider Enumeration Date:
01/23/2014

Additional Information

Authorized Official

Authorized Official Last Name:
COLLINS
Authorized Official First Name:
HEATHER
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
410-548-3333

Provider Taxonomy Codes

  • Taxonomy code: 324500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YA0400X , with the licence number: 905014 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 555301602 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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