Endeavor Health Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ENDEAVOR HEALTH CENTER LLC

Doing business as

Endeavor Health Center

Practice address

155 Fountains Way Ste 6
Saint Johns, FL 32259-1144

Phone

(904) 342-5455

NPI assigned

Jan 10, 2020

Organization subpart

Yes

Parent organization

ENDEAVOR HEALTH CENTER LLCAs reported in NPPES

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

Authorized official

Name

Dr. Robert T Hardman, DCNPI 1174085559

Title

Ao / Provider

Phone

(304) 613-4716

Specialties & licenses 1

Addresses

Other names 1

• Endeavor Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

Endeavor Health Center LLC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Trevor Hardman

  • Chiropractor
  • St Johns, FL
  • NPI 1174085559
  Medicare reassignment Care Compare group NPD Authorized official
• Gabrielle Shaw Hardman, DC

  • Chiropractor
  • St Johns, FL
  • NPI 1770146318
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1356981955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 FOUNTAINS WAY STE 6",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322591144",
            "telephone_number": "904-342-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 FOUNTAINS WAY STE 6",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322591144",
            "telephone_number": "904-342-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR HEALTH CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENDEAVOR HEALTH CENTER LLC",
        "enumeration_date": "2020-01-10",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "HARDMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AO / PROVIDER",
        "authorized_official_telephone_number": "304-613-4716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endeavor Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Eccher, PA
• Victoria Edwards, PA-C
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• Urdif T Encarnacion
• Erica Schulte Pmhnp
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• Rhianna Fagan, APRN
• Courtney B Fahnhorst Vidrine, M.D.
• Jasmine Fahrnbauer, D.C.

• Chiropractor in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.