Endeavor HCBS LLC

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

ENDEAVOR HCBS LLC

Practice address

4858 E Baseline Rd Ste 101
Mesa, AZ 85206-4638

Phone

(480) 933-6069

Fax

(480) 494-5466

NPI assigned

Dec 14, 2021

Organization subpart

Yes

Parent organization

ENDEAVOR HOME CARE GROUP, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Terisa Rose Gideon

Title

HCBS Manager

Phone

(480) 933-6069

Specialties & licenses 6

Addresses

Part of

Endeavor Home Care Group LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Endeavor Home Care Group, LLC

  • In Home Supportive Care Agency
  • Mesa, AZ
  • NPI 1619429016
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1255090593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4858 E BASELINE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064638",
            "telephone_number": "480-933-6069",
            "fax_number": "480-494-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4858 E BASELINE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064638",
            "telephone_number": "480-933-6069",
            "fax_number": "480-494-5466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2930 W Fairmount Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850174613",
            "country_code": "US",
            "telephone_number": "480-662-3953",
            "fax_number": "480-494-5466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENDEAVOR HCBS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENDEAVOR HOME CARE GROUP, LLC",
        "enumeration_date": "2021-12-14",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "GIDEON",
        "authorized_official_first_name": "TERISA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "HCBS MANAGER",
        "authorized_official_telephone_number": "480-933-6069",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Child Intellectual and/or Developmental Disabilities Respite Care in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.