Provider Demographics
NPI:1043617624
Name:ENDLESS OPPORTUNITIES, INC.
Entity Type:Organization
Organization Name:ENDLESS OPPORTUNITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JOHNELL
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW MBA
Authorized Official - Phone:832-468-9311
Mailing Address - Street 1:11144 FUQUA STREET
Mailing Address - Street 2:1123
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-2650
Mailing Address - Country:US
Mailing Address - Phone:832-468-9311
Mailing Address - Fax:
Practice Address - Street 1:11144 FUQUA STREET
Practice Address - Street 2:1123
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-2650
Practice Address - Country:US
Practice Address - Phone:832-468-9311
Practice Address - Fax:832-698-9531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-26
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251X00000X
TX311Z00000X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility