Endeavor House North
Substance Abuse Rehabilitation Facility in Kearny, New Jersey
1154888469- Practice location
- 206 Bergen Ave, Kearny, NJ 07032-3384
- Phone
- 732-210-0509
- Fax
- 732-542-1948
- Last updated
- December 19, 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 1154888469. 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 732-210-0509 and via fax at 732-542-1948.
Provider Profile Details
- NPI Number
- 1154888469
- Provider Name
- Endeavor House North
- Provider Entity Type
- Organization
- Address
- 206 Bergen Ave, Kearny, NJ 07032-3384
- Phone Number
- 732-210-0509
- Fax Number
- 732-542-1948
- Primary Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X
- Organization Subpart
- No
- Authorized Official
- Gilbert Yates · Contract Manager · 877-262-7803
- Other Names
- Aw II LLC (Doing Business As)
- Provider Enumeration Date
- February 22, 2019
- Last Update Date
- December 19, 2024
- Certification Date
- December 19, 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
- 732-210-0509
- Fax Number
- 732-542-1948
Provider Business Mailing Address Details
- Address
- 206 Bergen Ave
Kearny, NJ 07032-3384 - City
- Kearny
- State
- NJ
- Zip
- 07032-3384
- Phone Number
- 732-210-0509
- Fax Number
- 732-542-1948
License Information
- Taxonomy (1)
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- Taxonomy (2)
- Psychiatric Residential Treatment Facility · 323P00000X
- Taxonomy (3)
- Substance Abuse Rehabilitation Facility · 324500000X · Primary
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 1154888469. It was assigned on February 22, 2019 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 Substance Abuse Rehabilitation Facility (code 324500000X).
Where does Endeavor House North practice?
The practice location is 206 Bergen Ave, Kearny, NJ 07032-3384. The office can be reached at 732-210-0509 (phone) or 732-542-1948 (fax).
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 1154888469 directly on the NPPES registry website.