NPIMap

Organization Active NPI

Courage Living Care & Services

  • Child Physical Disabilities Respite Care
  • Homestead, FL
National Provider Identifier
1134594906
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Physical Disabilities Respite CareTaxonomy code 385HR2065X
License
111124GH Issued in FL
Legal business name
COURAGE LIVING CARE & SERVICES
Practice address
13020 SW 256TH St
Homestead, FL 33032-6925
Phone
(305) 910-5460
NPI assigned
Dec 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Phedette CourageNPI 1629232376
Title
Ceo
Phone
(305) 910-5460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Physical Disabilities Respite Care 385HR2065X 111124GH FL Primary

Addresses

Primary practice location

13020 SW 256TH St
Homestead, FL 33032-6925

Mailing address

13020 SW 256TH St
Homestead, FL 33032-6925

Other identifiers 1

IdentifierTypeStateIssuer
0151263000MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1134594906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 SW 256TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 SW 256TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326925",
            "telephone_number": "305-910-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE LIVING CARE & SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "COURAGE",
        "authorized_official_first_name": "PHEDETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-910-5460",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "FL",
            "license": "111124GH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151263000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.