ENDEAVOR HOUSE NORTH
NPI 1053068502
Community/Behavioral Health in Kearny, NJ
NPI Status: Active since March 04, 2022
Contact Information
206 BERGEN AVE
KEARNY, NJ
ZIP 07032
Phone: (877) 262-7803
- Organization
- Community/Behavioral Health
- CLIA Number: 31D2163225
- CLIA Cert. Type: Other - DRUG & ALCOHOL REHAB FACI
- CLIA Exp. Date: 03-10-2027
About ENDEAVOR HOUSE NORTH
This page provides the complete NPI Profile along with additional information for Endeavor House North, a provider established in Kearny, New Jersey operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1053068502 assigned on March 2022. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Endeavor House North operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Gilbert Yates (Contract Manager)
- NPI
- 1053068502
- Provider Name
- ENDEAVOR HOUSE NORTH
- Entity Type
- Organization
- Location Address
- 206 BERGEN AVE KEARNY, NJ 07032
- Location Phone
- (877) 262-7803
- Mailing Address
- 206 BERGEN AVE KEARNY, NJ 07032
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-04-2022
- Last Update Date
- 10-01-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171R00000X | Other Service Providers | Interpreter | |
| 2 | 251E00000X | Agencies | Home Health | |
| 3 | 251X00000X | Agencies | Supports Brokerage | |
| 4 | 252Y00000X | Agencies | Early Intervention Provider Agency | |
| 5 | 253Z00000X | Agencies | In Home Supportive Care |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D2163225
- Facility Type
- Other - DRUG & ALCOHOL REHAB FACI
- Certificate Effective Date
- March 11, 2025
- Certificate Expiration Date
- March 10, 2027
- Laboratory Director
- DAVID HU
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Endeavor House North to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for ENDEAVOR HOUSE NORTH
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053068502, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
KEARNY, NJ 07032
KEARNY, NJ 07032
KEARNY, NJ 07032
KEARNY, NJ 07032
KEARNY, NJ 07032
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053068502, enumerated as an "organization" on March 04, 2022.
The provider is located at 206 BERGEN AVE KEARNY, NJ 07032 and the phone number is (877) 262-7803.
Community/Behavioral Health with taxonomy code 251S00000X.
