Organization Active NPI

Endeavor Health & Wellness

  • Case Management Agency
  • San Antonio, TX
National Provider Identifier
1366690430
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ENDEAVOR HEALTH & WELLNESS
Practice address
19141 Stone Oak Pkwy
Suite 104
San Antonio, TX 78258-3366
Phone
(210) 832-8111
Fax
(210) 832-8117
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Authorized official

Name
Andrew Staffier, LCSW
Title
Clinical Director
Phone
(210) 832-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X TX Primary

Addresses

Primary practice location

19141 Stone Oak Pkwy
Suite 104
San Antonio, TX 78258-3366

Mailing address

19141 Stone Oak Pkwy
Suite 104
San Antonio, TX 78258-3366
Phone (210) 832-8111

Other identifiers 1

IdentifierTypeStateIssuer
1966384-01MedicaidTX

Other names 1

  • Endeavor Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1366690430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19141 STONE OAK PKWY",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583366",
            "telephone_number": "210-832-8111",
            "fax_number": "210-832-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19141 STONE OAK PKWY",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583366",
            "telephone_number": "210-832-8111",
            "fax_number": "210-832-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "STAFFIER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "210-832-8111",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1966384-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endeavor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.