AW II LLC – NPI #1154888469
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

AW II LLC is a substance abuse rehabilitation facility located in KEARNY, NJ. NPPES has assigned the NPI number 1154888469 to AW II LLC on February 22, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AW II LLC” is a dba name, the actual legal business name for this organization is ENDEAVOR HOUSE NORTH. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Dec 19, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AW II LLC below.

NPI Profile for
ENDEAVOR HOUSE NORTH

NPI Number
1154888469
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ENDEAVOR HOUSE NORTH
Doing Business As (dba): AW II LLC
Primary location
206 BERGEN AVE
KEARNY, NJ 07032-3384
Phone: (732) 210-0509 Fax: (732) 542-1948
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GILBERT YATES
CONTRACT MANAGER
Phone: (877) 262-7803
Updated
Certification Date
Dec 19, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.