ENDEAVOR THERAPY LLC
NPI 1699777417
Clinic/center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) in Mequon,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 11, 2005

Contact Information

11649 N Port Washington Rd
Mequon,
Post Code: 53092
Phone: (262) 241-8892
Fax: (262) 241-8894

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Endeavor Therapy Llc in Mequon - Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Endeavor Therapy Llc is a Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Mequon, . Endeavor Therapy Llc practices all healthcare services and medical treatments related to Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). The NPI Number for Endeavor Therapy Llc is 1699777417. The last update date is 2010-06-11.

Endeavor Therapy Llc's current location address is 11649 N Port Washington Rd, Mequon, . You can contact this provider via phone number (262) 241-8892 and fax number (262) 241-8894. The mailing address for Endeavor Therapy Llc is 11649 N Port Washington Rd, Mequon, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1699777417
Provider Legal Name
ENDEAVOR THERAPY LLC
Other Organization Name
ENDEAVOR THERAPY LLC
Other Name Type
-
Entity Type
Organization
Location Address
11649 N Port Washington Rd, Mequon,
Location Phone
(262) 241-8892
Location Fax
(262) 241-8894
Mailing Address
11649 N Port Washington Rd, Mequon, Wisconsin(WI)
Mailing Phone
262-241-8892
Mailing Fax
262-241-8894
Enumeration Date
2005-08-11
Last Update Date
2010-06-11
Code Navigator

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

Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Code
261QR0401X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
40076000 MEDICAID (05) Wisconsin (WI)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699777417
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261891471442
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 261891471442
2 + 6 + 1 + 8 + 9 + 1 + 4 + 7 + 1 + 4 + 4 + 2 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 7 7

The NPI number 1699777417 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053314070 GEORGE ANDREW BOUSH
Individual
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920-261-8225
1508869520 KATHLEEN MARY HAASCH
Individual
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920-458-3277
1245233287 KRISTIE LYNN GERING
Individual
Family Medicine 2829 COUNTY HIGHWAY I
CHIPPEWA FALLS, Wisconsin (WI)
715-860-2300
1053314252 HOSPICE ALLIANCE, INC.
ALLIANCE HOMECARE
Organization
Home Health 10220 PRAIRIE RIDGE BLVD
PLEASANT PRAIRIE, Wisconsin (WI)
262-652-4400
1255334421 MARK WILLIAM CONRADT
Individual
Audiologist 5195 KILLDEER LN
OSHKOSH, Wisconsin (WI)
920-729-2085