Provider Demographics
NPI:1609411354
Name:ENDURACARE ACUTE CARE SERVICES LLC
Entity type:Organization
Organization Name:ENDURACARE ACUTE CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER ENROLLMENT COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUBY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNHILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-861-8751
Mailing Address - Street 1:381 RIVERSIDE DR STE 440
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-8934
Mailing Address - Country:US
Mailing Address - Phone:615-861-8758
Mailing Address - Fax:615-807-2295
Practice Address - Street 1:351 OLD OAK CIR
Practice Address - Street 2:
Practice Address - City:PONTOTOC
Practice Address - State:MS
Practice Address - Zip Code:38863-5016
Practice Address - Country:US
Practice Address - Phone:601-942-9558
Practice Address - Fax:615-807-2295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-16
Last Update Date:2019-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy