Organization Active NPI

Courageous Endeavors

  • Community/Behavioral Health Agency
  • Jacksonville, FL
National Provider Identifier
1215226113
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COURAGEOUS ENDEAVORS
Practice address
4803 River Point Rd
Jacksonville, FL 32207-2117
Phone
(919) 724-9157
NPI assigned
Mar 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Mr. Winston Vickers
Title
Co-Executive Director
Phone
(919) 724-9157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X FL Primary

Addresses

Primary practice location

4803 River Point Rd
Jacksonville, FL 32207-2117

Mailing address

4803 River Point Rd
Jacksonville, FL 32207-2117
Phone (919) 724-9157

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1215226113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 RIVER POINT RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072117",
            "telephone_number": "919-724-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 RIVER POINT RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072117",
            "telephone_number": "919-724-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS ENDEAVORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_title_or_position": "CO-EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-724-9157",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.