Active NPI
Courage Cottage,L.L.C
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Las Vegas, NV
National Provider Identifier
1780338681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- COURAGE COTTAGE,L.L.C
- Practice address
- 4233 Hebron Dr
Las Vegas, NV 89147-4943 - Phone
- (702) 354-2269
- NPI assigned
- Feb 9, 2022
- 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
- Denise Jones
- Title
- Owner
- Phone
- (702) 354-2269
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Lodging Provider | 177F00000X | |||
| Public Health or Welfare Agency | 251K00000X | |||
| State or Local Public Health Clinic/Center | 261QP0905X | |||
| Assisted Living Facility (Mental Illness) | 3104A0625X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Private Vehicle | 347C00000X | |||
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
4233 Hebron Dr
Las Vegas, NV 89147-4943
Mailing address
4233 Hebron Dr
Las Vegas, NV 89147-4943
Phone (702) 354-2269
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644364800000",
"number": "1780338681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4233 HEBRON DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891474943",
"telephone_number": "702-354-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4233 HEBRON DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891474943",
"telephone_number": "702-354-2269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COURAGE COTTAGE,L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-09",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-354-2269"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": null,
"license": null,
"primary": false
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.