Endeavor Therapy Llc in Mequon - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf)
Endeavor Therapy Llc - NPI 1699777417
Endeavor Therapy Llc is a Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) in Mequon, Wisconsin. Endeavor Therapy Llc practices all healthcare services and medical treatments related to Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf). The NPI Number for Endeavor Therapy Llc is 1699777417. The last update date is 2010-06-11.
Endeavor Therapy Llc's current location address is 11649 N Port Washington Rd, Mequon, Wisconsin. You can contact this provider via phone number 2622418892 and fax number 2622418894. The mailing address for Endeavor Therapy Llc is 11649 N Port Washington Rd, Mequon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Endeavor Therapy Llc |
|---|---|
| Address | 11649 N Port Washington Rd, Mequon, Wisconsin |
| Phone Number | 2622418892 |
| Fax Number | 2622418894 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Block Irene Karen |
| Telephone Number | 2622418892 |
NPI Number Detail
| NPI Number | 1699777417 |
|---|---|
| Provider Enumeration Date | 2005-08-11 |
| Last Updated Date | 2010-06-11 |
Provider Mailing Address Detail
| Address | 11649 N Port Washington Rd |
|---|---|
| City | Mequon |
| State | Wisconsin (WI) |
| Post Code | 530923460 |
| Phone Number | 2622418892 |
| Fax Number | 2622418894 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) |
|---|---|
| Taxonomy | 261Qr0401X |
|
Definition: Provides intensive rehabilitation therapy after illness, injury, or surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40076000 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Endeavor Therapy Llc by the Centers for Medicare & Medicaid Services?
The Endeavor Therapy Llc has been issued the NPI (National Provider Identifier) 1699777417, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Endeavor Therapy Llc is geographically located?
The Endeavor Therapy Llc is physically situated at the following location: 11649 N Port Washington Rd, Mequon, WI, 530923460.
What is Endeavor Therapy Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Endeavor Therapy Llc's specialized field of practice is Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf), and the corresponding taxonomy code that categorizes this area of specialization is 261Qr0401X.
On what date was the 1699777417 assigned to Endeavor Therapy Llc?
The Endeavor Therapy Llc was issued its 1699777417 on 2005-08-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Endeavor Therapy Llc most recently updated or refreshed?
The details pertaining to the Endeavor Therapy Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-06-11.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC