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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Respite Care, Intellectual and/or Developmental Disabilities |
385HR2060X | |||
Early Intervention Provider Agency |
252Y00000X | |||
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice | |
In Home Supportive Care |
253Z00000X | |||
Preferred Provider Organization |
305R00000X | |||
Respite Care, Physical Disabilities, Child |
385HR2065X |
| NPI Number | 1255090593 |
| LBN Legal business name | ENDEAVOR HCBS LLC |
| Authorized official | TERISA GIDEON - (HCBS MANAGER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 12/14/2021 |
| Last updated | 06/27/2025 - About 11 months ago |
| Identifiers | n/a |
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ENDEAVOR HCBS LLC