Organization Active NPI

Behavioral Health Care Management Systems

Doing business as Endeavor Family Services

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1588672885
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BEHAVIORAL HEALTH CARE MANAGEMENT SYSTEMS
Doing business as
Endeavor Family Services
Practice address
2917 N Pine Hills Rd
Orlando, FL 32808-3539
Phone
(407) 521-6141
Fax
(407) 521-6651
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ray Berry
Title
Ceo
Phone
(954) 926-6020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X FL Primary

Addresses

Primary practice location

2917 N Pine Hills Rd
Orlando, FL 32808-3539

Mailing address

1939 Tyler St
Hollywood, FL 33020-4516
Phone (954) 926-6020

Other identifiers 2

IdentifierTypeStateIssuer
277387OtherFLAMERIGROUP ID NUMBER
274913OtherFLHARMONY ID NUMBER

Other names 1

  • Endeavor Family Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Health Care Management Systems2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1939 Tyler St
Hollywood, FL 33020

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588672885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 TYLER ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204516",
            "telephone_number": "954-926-6020",
            "fax_number": "954-926-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 N PINE HILLS RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328083539",
            "telephone_number": "407-521-6141",
            "fax_number": "407-521-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH CARE MANAGEMENT SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-926-6020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP ID NUMBER",
            "identifier": "277387",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARMONY ID NUMBER",
            "identifier": "274913",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endeavor Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.