Provider Demographics
NPI:1932523842
Name:ENDSLEY HEALTHCARE, LLC
Entity type:Organization
Organization Name:ENDSLEY HEALTHCARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CHIEF EXECUTIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ENDSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MHPM, NHA
Authorized Official - Phone:660-362-1413
Mailing Address - Street 1:502 BURKARTH RD
Mailing Address - Street 2:SUITE C-LOWER LEVEL
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093-3104
Mailing Address - Country:US
Mailing Address - Phone:660-362-1412
Mailing Address - Fax:
Practice Address - Street 1:502 BURKARTH RD
Practice Address - Street 2:SUITE C-LOWER LEVEL
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-3104
Practice Address - Country:US
Practice Address - Phone:660-362-1412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-12
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care