Endeavor Home Care LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

ENDEAVOR HOME CARE LLC

Practice address

152 Zamora Circle Suite 6
Eagle Pass, TX 78852-7885

Phone

(830) 421-1672

NPI assigned

Dec 14, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Abraham M Tipa, LVN

Title

Owner

Phone

(830) 421-1672

Specialties & licenses 1

Addresses

Other names 1

• ENDEAVOR HOME CARE LLC Former legal business name

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1710699343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6081",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788536081",
            "telephone_number": "830-421-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 ZAMORA CIRCLE SUITE 6",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788527885",
            "telephone_number": "830-421-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "TIPA",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-421-1672",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENDEAVOR HOME CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ENDEAVOR HOME CARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Personal Care Attendant in Eagle Pass, TX
• Providers in Eagle Pass, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.