Active NPIOrganization

Endeavor House North

Clinic/Center, Rehabilitation, Substance Use Disorder in Kearny, New Jersey

NPI Number1215101381
Practice location
206 Bergen Ave, Kearny, NJ 07032-3384
Fax
201-991-2066
Last updated
April 18, 2008

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 1215101381 and holds a License No. 200021607 (NJ). 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 201-991-0035 and via fax at 201-991-2066.

Provider Profile Details

NPI Number
1215101381
Provider Name
Endeavor House North
Provider Entity Type
Organization
Address
206 Bergen Ave, Kearny, NJ 07032-3384
Phone Number
201-991-0035
Fax Number
201-991-2066
Organization Subpart
No
Authorized Official
Mrs. Rosemary Sherman · Ceo · 732-264-3824
Provider Enumeration Date
April 18, 2008
Last Update Date
April 18, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
206 Bergen Ave
Kearny, NJ 07032-3384
City
Kearny
Zip
07032-3384
Phone Number
201-991-0035
Fax Number
201-991-2066
Kearny, NJ 07032Get directions →

Provider Business Mailing Address Details

Address
206 Bergen Ave
Kearny, NJ 07032-3384
City
Kearny
State
NJ
Zip
07032-3384
Phone Number
201-991-0035
Fax Number
201-991-2066

License Information

License Number
200021607
License State
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
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 1215101381. It was assigned on April 18, 2008 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 Clinic/Center, Rehabilitation, Substance Use Disorder (code 261QR0405X), licensed in NJ under license number 200021607.

Where does Endeavor House North practice?

The practice location is 206 Bergen Ave, Kearny, NJ 07032-3384. The office can be reached at 201-991-0035 (phone) or 201-991-2066 (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 1215101381 directly on the NPPES registry website.

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