Provider Demographics
NPI:1336254085
Name:COURAGE HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:COURAGE HOME HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:OKPECHI
Authorized Official - Last Name:AMAJOR
Authorized Official - Suffix:
Authorized Official - Credentials:GRADUATE
Authorized Official - Phone:972-276-5063
Mailing Address - Street 1:2108 CEDARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-1119
Mailing Address - Country:US
Mailing Address - Phone:972-276-5063
Mailing Address - Fax:972-276-5064
Practice Address - Street 1:2108 CEDARWOOD DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-1119
Practice Address - Country:US
Practice Address - Phone:972-276-5063
Practice Address - Fax:972-276-5063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009780251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677849Medicare Oscar/Certification
TX67-7849Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER