Provider Demographics
NPI:1336855196
Name:ENDLESS HOMECARE LLC
Entity type:Organization
Organization Name:ENDLESS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIEU
Authorized Official - Middle Name:V
Authorized Official - Last Name:LA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-693-0272
Mailing Address - Street 1:3276 BUFORD DR
Mailing Address - Street 2:STE 104 NO 216
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-4587
Mailing Address - Country:US
Mailing Address - Phone:408-693-0290
Mailing Address - Fax:678-730-3799
Practice Address - Street 1:3276 BUFORD DR
Practice Address - Street 2:STE 104 NO 216
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-4587
Practice Address - Country:US
Practice Address - Phone:408-693-0272
Practice Address - Fax:678-730-3799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-25
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health