Organization Active NPI

Courage Home Care Inc

  • Home Health Aide
  • Saint Paul, MN
National Provider Identifier
1407507619
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
COURAGE HOME CARE INC
Practice address
1910 University Ave W
Saint Paul, MN 55104-3426
Phone
(651) 300-1220
Fax
(651) 389-9889
NPI assigned
Jan 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Abdullahi Muse Hersi
Title
Manager
Phone
(651) 300-1220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

1910 University Ave W
Saint Paul, MN 55104-3426

Mailing address

1309 University Ave W Apt 220
Saint Paul, MN 55104-4243
Phone (651) 300-1220

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1407507619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 UNIVERSITY AVE W APT 220",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044243",
            "telephone_number": "651-300-1220",
            "fax_number": "651-389-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043426",
            "telephone_number": "651-300-1220",
            "fax_number": "651-389-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "HERSI",
        "authorized_official_first_name": "ABDULLAHI",
        "authorized_official_middle_name": "MUSE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "651-300-1220"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.