Endeavor Therapy Llc

LBN: Endeavor Therapy Llc
Endeavor Therapy Llc is an health care organization with primary practice located at 11649 N Port Washington Rd Ste 109, Mequon WI 53092-3460. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), which is considered as the primary health care specialty. Endeavor Therapy Llc can be contacted via phone (262) 241-8892, or through Block, Karen Irene via phone (262) 241-8892.

Contact Information

Primary practice address
11649 N Port Washington Rd Ste 109 Mequon WI 53092-3460
Phone: (262) 241-8892
Fax: (262) 241-8894
Website:
Map and Directions
Authorized official contact:
Name: Block, Karen Irene
Phone: (262) 241-8892

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Profile Details

NPI number 1699777417
LBN Legal business name Endeavor Therapy Llc
DBA Doing business as
Authorized official Block, Karen Irene
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2005
Last updated Jun 11th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699777417 NPPES
Wisconsin MEDICAID 40076000

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