Provider Demographics
NPI:1215160833
Name:COURTEOUS CARE
Entity type:Organization
Organization Name:COURTEOUS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONIA
Authorized Official - Middle Name:PICOU
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:504-827-2557
Mailing Address - Street 1:1515 S SALCEDO ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-2829
Mailing Address - Country:US
Mailing Address - Phone:504-827-2557
Mailing Address - Fax:504-827-5558
Practice Address - Street 1:1515 S SALCEDO ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-2829
Practice Address - Country:US
Practice Address - Phone:504-827-2557
Practice Address - Fax:504-827-5558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-30
Last Update Date:2009-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15257385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA437396748Medicaid