Endeavor House North
Community/Behavioral Health in Kearny, New Jersey
1053068502- Practice location
- 206 Bergen Ave, Kearny, NJ 07032-3384
- Phone
- 877-262-7803
- Fax
- —
- Last updated
- October 1, 2024
Endeavor House North is a healthcare organization based in Kearny, NJ. Endeavor House North practices in Kearny, NJ. The NPI Number for Endeavor House North is 1053068502. The current practice location address for Endeavor House North is 206 Bergen Ave, Kearny, NJ 07032-3384 and can be reached out via phone at 877-262-7803.
Provider Profile Details
- NPI Number
- 1053068502
- Provider Name
- Endeavor House North
- Provider Entity Type
- Organization
- Address
- 206 Bergen Ave, Kearny, NJ 07032-3384
- Phone Number
- 877-262-7803
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Gilbert Yates · Contract Manager · 877-262-7803
- Provider Enumeration Date
- March 4, 2022
- Last Update Date
- October 1, 2024
- Certification Date
- October 1, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 206 Bergen Ave
Kearny, NJ 07032-3384 - City
- Kearny
- State
- New Jersey
- Zip
- 07032-3384
- Phone Number
- 877-262-7803
Provider Business Mailing Address Details
- Address
- 206 Bergen Ave
Kearny, NJ 07032-3384 - City
- Kearny
- State
- NJ
- Zip
- 07032-3384
License Information
- Taxonomy (1)
- Interpreter · 171R00000X
- Taxonomy (2)
- Home Health · 251E00000X
- Taxonomy (3)
- Community/Behavioral Health · 251S00000X · Primary
- Taxonomy (4)
- Supports Brokerage · 251X00000X
- Taxonomy (5)
- Early Intervention Provider Agency · 252Y00000X
- Taxonomy (6)
- In Home Supportive Care · 253Z00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Endeavor House North?
The NPI number of Endeavor House North is 1053068502. It was assigned on March 4, 2022 and is currently active in the NPPES registry.
What is the specialty of Endeavor House North?
Endeavor House North is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Endeavor House North practice?
The practice location is 206 Bergen Ave, Kearny, NJ 07032-3384. The office can be reached at 877-262-7803 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053068502 directly on the NPPES registry website.