NPIMap

Organization Active NPI

Courage Center

Doing business as Home and Community Based Rehabilitation

  • Rehabilitation Clinic/Center
  • Golden Valley, MN
National Provider Identifier
1629120563
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
8356799 Issued in MN
Legal business name
COURAGE CENTER
Doing business as
Home and Community Based Rehabilitation
Practice address
3915 Golden Valley Rd
Golden Valley, MN 55422-4249
Phone
(612) 588-0811
Fax
(763) 520-0237
NPI assigned
Jan 18, 2007
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Jeanne OlsonNPI 1285818310
Title
Program Director
Phone
(763) 520-0283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 8356799 MN Primary

Addresses

Primary practice location

3915 Golden Valley Rd
Golden Valley, MN 55422-4249

Mailing address

3915 Golden Valley Rd
Golden Valley, MN 55422-4249
Phone (612) 588-0811

Other identifiers 2

IdentifierTypeStateIssuer
1041648OtherMNPREFERRED ONE
6899HCUOtherMNBCBS OF MN

Other names 1

  • Home and Community Based Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Courage Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1629120563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 GOLDEN VALLEY RD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224249",
            "telephone_number": "612-588-0811",
            "fax_number": "763-520-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 GOLDEN VALLEY RD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224249",
            "telephone_number": "612-588-0811",
            "fax_number": "763-520-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "763-520-0283"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MN",
            "license": "8356799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1041648",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "6899HCU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home and Community Based Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.