Endeavors Baraka

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ENDEAVORS BARAKA

Practice address

1240 Woodland Dr
Elizabethtown, KY 42701-2767

Phone

(833) 922-7252

NPI assigned

Jun 18, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Nathaniel Terron BarbourNPI 1639984222

Title

Owner

Phone

(606) 215-2328

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Nathaniel Terron Barbour

  • Substance Abuse Rehabilitation Facility
  • Elizabethtown, KY
  • NPI 1639984222
  NPD Authorized official

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1568359198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 WOODLAND DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012767",
            "telephone_number": "833-922-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 WOODLAND DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012767",
            "telephone_number": "833-922-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVORS BARAKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "BARBOUR",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "TERRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-215-2328",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Ellis, LCSW
• Stephanie Elmore
• Athena V Emerine, SLP
• Encompass Health Rehabilitation Hospital of Lakeview, LLC
• Encouraging Hearts Counseling
• Endeavors Baraka I
• James T Engle Jr., MD
• Andrea Beth English, L.M.T.
• Kathryn Lindsay Entrican
• Dana Erickson, CRNA

• Substance Abuse Rehabilitation Facility in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Substance Abuse Rehabilitation Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.