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ENDEAVOR HOUSE NORTH
NPI 1053068502
Community/Behavioral Health in Kearny, NJ

Active since March 04, 2022CLIA 31D2163225 · Waiver
206 BERGEN AVE, KEARNY, NJ 07032(877) 262-7803 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 1, 2024, Mar 4, 2022 (2 updates tracked since 2022).

About Endeavor House North NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENDEAVOR HOUSE NORTH (NPI 1053068502) is a healthcare organization registered as a community/behavioral health in Kearny, New Jersey and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through March 10, 2027 and lists Gilbert Yates, Contract Manager, as its authorized official.

NPPES Registry Identity

NPI1053068502
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameENDEAVOR HOUSE NORTH
Location Address206 BERGEN AVEKearny, NJ 07032-3384
Mailing Address206 Bergen AveKearny, NJ 07032-3384
Phone(877) 262-7803
Organization SubpartNo
Authorized OfficialGilbert YatesContract Manager · (877) 262-7803
Enumeration DateMarch 4, 2022
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1053068502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedInterpreterTaxonomy 171R00000X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedSupports BrokerageTaxonomy 251X00000X
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
206 BERGEN AVE, Kearny, NJ 07032
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2163225

Endeavor House North Dba Aw II, LLC · Kearny, NJ
Active · expires Mar 10, 2027
CLIA Number31D2163225
Laboratory TypeDrug & Alcohol Rehab Faci
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorDavid Hu
Laboratory Phone(732) 982-2674
Laboratory LocationEndeavor House North Dba Aw II, LLC206 Bergen Ave, Kearny, NJ 07032
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMERGENCY ASSOCIATES OF KEARNY, P.A.
Emergency Medicine
206 BERGEN AVE
KEARNY, NJ 07032
Hudson County (201) 955-7000
PINNACLE TREATMENT CENTERS NJ-V
Clinic/Center (Rehabilitation, Substance Use Disorder)
206 BERGEN AVE
KEARNY, NJ 07032
Hudson County (201) 991-0035
ENDEAVOR HOUSE NORTH
Substance Abuse Rehabilitation Facility
206 BERGEN AVE
KEARNY, NJ 07032
Hudson County (732) 210-0509
TRI-COUNTY PAIN MANAGEMENT & REHABILITATION, PA
Anesthesiology
206 BERGEN AVE
KEARNY, NJ 07032
Hudson County (201) 955-7000
ENDEAVOR HOUSE NORTH
Clinic/Center (Rehabilitation, Substance Use Disorder)
206 BERGEN AVE
KEARNY, NJ 07032
Hudson County (201) 991-0035
DR. DAGOBERTO ALEJANDRO ROJAS DPT
Physical Therapist
206 BERGEN AVE
KEARNY, NJ 07032
Hudson County (551) 230-0664
JENNIFER D DERISSE LCADC
Counselor (Addiction (Substance Use Disorder))
206 BERGEN AVE
KEARNY, NJ 07032
Hudson County (732) 210-0509
KATHLEEN THOMAS MD
Allergy & Immunology (Allergy)
206 BERGEN AVE, SUITE 202
KEARNY, NJ 07032
Hudson County (201) 246-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Endeavor House North's NPI number?

The NPI number for Endeavor House North is 1053068502. It was assigned to this organization in the NPPES registry on March 4, 2022.

Where is Endeavor House North located?

Endeavor House North is located at 206 Bergen Ave, Kearny, NJ 07032. The listed phone number is (877) 262-7803.

What is Endeavor House North's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Endeavor House North hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2163225) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Endeavor House North was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.