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Organization
ENDEAVOR HCBS LLC
Active
Organization
ENDEAVOR HCBS LLC
Active
Parent organization
ENDEAVOR HOME CARE GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENDEAVOR HOME CARE GROUP, LLC
Authorized official
MS. TERISA ROSE GIDEON (HCBS MANAGER)
(480) 933-6069
Entity
Organization
Contact information
Practice address
4858 E BASELINE RD STE 101, MESA, AZ 85206-4638
(480) 933-6069
(480) 494-5466
Mailing address
4858 E BASELINE RD STE 101, MESA, AZ 85206-4638
(480) 933-6069
(480) 494-5466
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
305R00000X
Preferred Provider Organization
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
12/14/2021
Last updated
06/27/2025
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