Organization Active NPI

Courageous Home Healthcare Inc.

  • In Home Supportive Care Agency
  • Macon, GA
National Provider Identifier
1407958499
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COURAGEOUS HOME HEALTHCARE INC.
Practice address
1667 Eisenhower Pkwy BLDG B
Macon, GA 31206-3159
Phone
(478) 477-7594
Fax
(478) 477-2556
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Ms. Valorie D Markham
Title
Administrator
Phone
(478) 477-7594

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Adult CompanionGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 372600000X 094-R-0003 GA

Addresses

Primary practice location

1667 Eisenhower Pkwy BLDG B
Macon, GA 31206-3159

Mailing address

4339 Hartley Bridge Rd # 314
Macon, GA 31216-5641
Phone (478) 477-7594

Other identifiers 4

IdentifierTypeStateIssuer
254965700AMedicaidGA
277797004BMedicaidGA
277797004CMedicaidGA
277797004EMedicaidGA

Other names 1

  • Courageous Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

1667 Eisenhower Pkwy
Bldg B
Macon, GA 31206
Phone (478) 477-7594

1057 Parkway Dr
#B
Macon, GA 31220

1667 Eisenhower Pkwy
Macon, GA 31206
Phone (478) 477-7594

4339 Hartley Bridge Rd
Macon, GA 31216

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1407958499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4339 HARTLEY BRIDGE RD # 314",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312165641",
            "telephone_number": "478-477-7594",
            "fax_number": "478-477-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 EISENHOWER PKWY BLDG B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312063159",
            "telephone_number": "478-477-7594",
            "fax_number": "478-477-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS HOME HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "MARKHAM",
        "authorized_official_first_name": "VALORIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-477-7594",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": "GA",
            "license": "094-R-0003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254965700A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277797004B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277797004C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277797004E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courageous Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.