Organization Active NPI

Endless Possibilities Youth Center Inc

  • Day Training/Habilitation Specialist
  • Valparaiso, IN
National Provider Identifier
1710693478
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Legal business name
ENDLESS POSSIBILITIES YOUTH CENTER INC
Practice address
786 McCool Rd Ste 4
Valparaiso, IN 46385-8894
Phone
(219) 977-3122
NPI assigned
Jan 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Jennifer Escobedo
Title
Ceo
Phone
(219) 977-3122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 373H00000X Primary

Addresses

Primary practice location

786 McCool Rd Ste 4
Valparaiso, IN 46385-8894

Mailing address

786 McCool Rd Ste 4
Valparaiso, IN 46385-8894

National Provider Directory

National Provider Directory

Locations

786 McCool Rd
Ste 4
Valparaiso, IN 46385
Phone (219) 977-3122

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1710693478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 MCCOOL RD STE 4",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463858894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 MCCOOL RD STE 4",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463858894",
            "telephone_number": "219-977-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDLESS POSSIBILITIES YOUTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "ESCOBEDO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-977-3122"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.