Enduracare Acute Care Services LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ENDURACARE ACUTE CARE SERVICES LLC

Doing business as

Enduracare Acute Care Services Jackson

Practice address

1054 Greymont Ave
Jackson, MS 39202-2718

Phone

(601) 955-9624

Fax

(601) 353-6151

NPI assigned

Nov 22, 2017

Last updated

Nov 22, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer C Berrell

Title

VP of Human Resources

Phone

(615) 861-8755

Specialties & licenses 1

Addresses

Other names 1

• ENDURACARE ACUTE CARE SERVICES JACKSON Doing business as

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1407360738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 RIVERSIDE DR STE 440",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648934",
            "telephone_number": "615-861-8755",
            "fax_number": "615-472-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 GREYMONT AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022718",
            "telephone_number": "601-955-9624",
            "fax_number": "601-353-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDURACARE ACUTE CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "BERRELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP OF HUMAN RESOURCES",
        "authorized_official_telephone_number": "615-861-8755"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENDURACARE ACUTE CARE SERVICES JACKSON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emmanuel Ridge Chiropractic Services, Inc.
• Lorean Emory, PHARMD
• Mark Alfred Enderle, MD
• John Blake Endris, FNP-C
• Mary Margaret Endris
• Jason Engel, MD
• Melinda J. Engel, RNFA
• Kelly Brooke Engelmann, CFNP
• Enhanced Wellness Living PLLC
• Enhanced Wellness, PLLC

• Physical Therapy Clinic/Center in Jackson, MS
• Providers in Jackson, MS by specialty
• Physical Therapy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.