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ENDEAVOR HCBS LLC
NPI 1255090593
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities in Mesa, AZ

Active since December 14, 2021
4858 E BASELINE RD STE 101, MESA, AZ 85206(480) 933-6069(480) 494-5466 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2025, Dec 27, 2021, Dec 14, 2021 (3 updates tracked since 2021).

About Endeavor Hcbs Llc NPPES

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

ENDEAVOR HCBS LLC (NPI 1255090593) is a healthcare organization registered as a respite care, intellectual and/or developmental disabilities in Mesa, Arizona and active in the NPI registry since December 2021. The organization maintains a secondary practice location in Phoenix and lists Terisa Rose Gideon, Hcbs Manager, as its authorized official.

NPPES Registry Identity

NPI1255090593
Entity TypeOrganization
Primary Taxonomy385HR2060X
Legal Business NameENDEAVOR HCBS LLC
Location Address4858 E BASELINE RD STE 101Mesa, AZ 85206-4638
Mailing Address4858 E Baseline Rd Ste 101Mesa, AZ 85206-4638 · (480) 933-6069 · Fax (480) 494-5466
Phone(480) 933-6069
Fax(480) 494-5466
Organization SubpartYesParent: Endeavor Home Care Group, Llc
Authorized OfficialTerisa Rose GideonHcbs Manager · (480) 933-6069
Enumeration DateDecember 14, 2021
Last NPPES UpdateJune 27, 20253 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1255090593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesRespite Care Facility
Taxonomy Code385HR2060X
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
Also ListedHospice Care, Community BasedTaxonomy 251G00000X
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedPreferred Provider OrganizationTaxonomy 305R00000X
Also ListedRespite Care · Respite Care, Physical Disabilities, ChildTaxonomy 385HR2065X
4858 E BASELINE RD STE 101, Mesa, AZ 85206
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Secondary Practice Location 1

Location 12930 W Fairmount AvePhoenix, AZ 85017-4613 · Phone (480) 662-3953 · Fax (480) 494-5466

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 Hcbs LLC's NPI number?

The NPI number for Endeavor Hcbs LLC is 1255090593. It was assigned to this organization in the NPPES registry on December 14, 2021.

Where is Endeavor Hcbs LLC located?

Endeavor Hcbs LLC is located at 4858 E Baseline Rd Ste 101, Mesa, AZ 85206. The listed phone number is (480) 933-6069.

What is Endeavor Hcbs LLC's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Intellectual and/or Developmental Disabilities, with taxonomy code 385HR2060X.

When was this NPI record last updated?

The NPPES record for Endeavor Hcbs LLC was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.