1407360738 NPI number — ENDURACARE ACUTE CARE SERVICES LLC

Table of content: (NPI 1407360738)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407360738 NPI number — ENDURACARE ACUTE CARE SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ENDURACARE ACUTE CARE SERVICES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407360738
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/22/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
381 RIVERSIDE DR STE 440
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRANKLIN
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37064-8934
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-861-8755
Provider Business Mailing Address Fax Number:
615-472-1936

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1054 GREYMONT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JACKSON
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39202-2718
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-955-9624
Provider Business Practice Location Address Fax Number:
601-353-6151
Provider Enumeration Date:
11/22/2017

Additional Information

Authorized Official

Authorized Official Last Name:
BERRELL
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
C
Authorized Official Title or Position:
VP OF HUMAN RESOURCES
Authorized Official Telephone Number:
615-861-8755

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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