Endeavor Seniorcare Hospital, L.L.C.

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

ENDEAVOR SENIORCARE HOSPITAL, L.L.C.

Practice address

2106 Loop Rd
Winnsboro, LA 71295-3342

Phone

(601) 250-4815

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Charles Bates

Title

Manager

Phone

(601) 250-4815

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1285764720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 MARYLAND AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 LOOP RD",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953342",
            "telephone_number": "601-250-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR SENIORCARE HOSPITAL, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-250-4815"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Christopher Dollar
• Tanya Evette Douglas, BACHELORS
• Kelsey Easterling
• Educational Advocacy Supports & Enterprises, LLC
• Joel Glen Eldridge, D.O.
• Brian T Enlow, PT
• Kimberly Erskin, LOTR
• Delynn Eubanks, RPH
• Kimberly R Fannin - Trisler, APRN
• FJ'S Medical Transportation LLC

• All providers in Winnsboro, LA
• Psychiatric Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.