Provider Demographics
NPI:1316380686
Name:COURTESY CARE, INC.
Entity Type:Organization
Organization Name:COURTESY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-409-2577
Mailing Address - Street 1:4154 MEADOW PARK CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-6630
Mailing Address - Country:US
Mailing Address - Phone:901-313-0044
Mailing Address - Fax:901-255-2567
Practice Address - Street 1:6099 MOUNT MORIAH ROAD EXT STE 9A
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115
Practice Address - Country:US
Practice Address - Phone:901-313-0044
Practice Address - Fax:901-255-2567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-16
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000022386253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH445453Medicaid