Active NPI
Courageous Home Healthcare Inc.
- In Home Supportive Care Agency
- Macon, GA
National Provider Identifier
1407958499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Adult Companion | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254965700A | Medicaid | GA | |
| 277797004B | Medicaid | GA | |
| 277797004C | Medicaid | GA | |
| 277797004E | Medicaid | GA |
Other names 1
- Courageous Home Care
National Provider Directory
National Provider DirectoryLocations
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.