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ENDEAVOR HOUSE NORTH NPI 1215101381


NPI Information

NPI: 1215101381
Provider Name: ENDEAVOR HOUSE NORTH
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 31D2132867

Address:
206 BERGEN AVE
KEARNY, NJ
ZIP 07032
Phone: (201) 991-0035
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ENDEAVOR HOUSE NORTH is a rehabilitation and substance use disorder clinic center in Kearny, NJ. ENDEAVOR HOUSE NORTH NPI is 1215101381. The provider is registered as an organization entity type.

The provider's business location address is:

206 BERGEN AVE
KEARNY, NJ
ZIP 07032-384
Phone: (201) 991-0035
Fax: (201) 991-2066

The provider's authorized official is Rosemary Sherman .
The authorized official title is Ceo and has the following contact phone number (732) 264-3824.

The CLIA number assigned to this NPI record is 31D2132867 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2008 and was last updated on 4/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder200021607NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.