Provider Demographics
NPI:1649625211
Name:ENDURING HOME CARE AGENCY, LLC
Entity type:Organization
Organization Name:ENDURING HOME CARE AGENCY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AUTUMN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-567-1198
Mailing Address - Street 1:2711 N HASKELL AVE
Mailing Address - Street 2:STE. 550
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-2911
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2711 N HASKELL AVE
Practice Address - Street 2:STE. 550
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-2911
Practice Address - Country:US
Practice Address - Phone:972-567-1198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health