Endredy Enterprises, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ENDREDY ENTERPRISES, LLC

Practice address

1855 W Baseline Rd Ste 202
Mesa, AZ 85202-9010

Phone

(480) 377-6770

Fax

(480) 377-6763

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Mark Endredy

Title

Managing Member

Phone

(480) 377-6770

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Synergy HomeCare Doing business as

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1346388444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W BASELINE RD STE 202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029010",
            "telephone_number": "480-377-6770",
            "fax_number": "480-377-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W BASELINE RD STE 202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029010",
            "telephone_number": "480-377-6770",
            "fax_number": "480-377-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDREDY ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "ENDREDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "480-377-6770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "967292",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Synergy HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.