MEDICARE: COURAGE ASSISTED LIVING FACILITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1073602611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COURAGE ASSISTED LIVING FACILITY

Provider Business Mailing Address
First Line	:	519 RED COAT LANE
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76002-2841
Country	:	US
Telephone Number	:	817-751-0593
Fax Number	:	817-419-8146

Provider Business Practice Location Address
First Line	:	519 RED COAT LANE
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76002-2841
Country	:	US
Telephone Number	:	817-751-0593
Fax Number	:	817-419-8146

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	PAT EGUAE
Credential	:	ADMIN
Telephone Number	:	817-798-1991

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	03/26/2026

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Directions to “COURAGE ASSISTED LIVING FACILITY ” Practice Location

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