Provider Demographics
NPI:1801026398
Name:COURTEOUS CARE, INC.
Entity Type:Organization
Organization Name:COURTEOUS CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PICOU
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:504-827-2557
Mailing Address - Street 1:1515 S SALCEDO ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-2829
Mailing Address - Country:US
Mailing Address - Phone:504-827-2557
Mailing Address - Fax:504-827-2557
Practice Address - Street 1:4911 PERELLI DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-3529
Practice Address - Country:US
Practice Address - Phone:504-905-6751
Practice Address - Fax:504-246-4202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-20
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LASIL 20192251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA=========Medicaid