CSB OF EAST CENTRAL GA (NPI# 1588995880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588995880 |
| Entity Type | Organization |
| Organization Name | CSB OF EAST CENTRAL GA |
| Other Organization Name | GA TASC WILKES: COMP |
| Practice Address |
213 Hospital Dr Washington GA 30673-5628 |
| Mailing Address |
3421 Mike Padgett Hwy Augusta GA 30906-3815 |
| Practice Telephone | 7064324858 |
| Practice Fax Number | 7064323780 |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |
| Authorized Official Name | WANDA JESSIE (BILLING MANAGER) |
| Authorized Official Telephone | 7064324858 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | GA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000605833S | 05 |
| Other Name | Type Code |
|---|---|
| GA TASC WILKES: COMP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467013821 | Csb of East Central Ga | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5101 Parnell Way, Martinez, GA 30907-8896 | 2019-06-26 |
| 1811436512 | Csb of East Central Ga | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4008 Ramswood Dr, Hephzibah, GA 30815-5849 | 2017-02-15 |
| 1508305285 | Csb of East Central Ga | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3126 Richmond Hill Rd, Augusta, GA 30906-4754 | 2017-02-15 |
| 1447798707 | Csb of East Central Ga | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 355 Bobwhite Trl, Grovetown, GA 30813-5886 | 2017-02-07 |
| 1346565926 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3015 Manchester Dr, Hephzibah, GA 30815-7166 | 2010-04-07 |
| 1700101391 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2006 Country Place Dr, Augusta, GA 30906-8732 | 2010-04-07 |
| 1588995112 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 386 Tower Rd, Augusta, GA 30907-8750 | 2010-01-21 |
| 1881925410 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3461 Camak Dr, Augusta, GA 30909-9433 | 2010-01-21 |
| 1053642686 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2115 Ashley Dr, Augusta, GA 30906-5085 | 2010-01-21 |
| 1679804215 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2208 Walden Dr, Augusta, GA 30904-6508 | 2010-01-21 |
| Street Address |
213 HOSPITAL DR |
| City | WASHINGTON |
| State | GA |
| Zip Code | 30673-5628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609107333 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 213 Hospital Dr, Washington, GA 30673-5628 | 2010-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477893766 | Andrew D Smoot | Specialist/Technologist | 119 W Robert Toombs Ave, A, Washington, GA 30673 | 2013-02-22 |
| 1033418975 | Hulin Transportation, Inc. | Respite Care | 906 Sandtown Rd., Washington, GA 30673 | 2011-03-17 |
| 1730404047 | Brian James Ackermann | Chiropractor | 22 West Robert Toombs Ave, R, Washington, GA 30673 | 2010-03-30 |
| 1922129105 | David T. Kirk and Associates | Clinic/Center | 206 Hospital Dr., Washington, GA 30673 | 2007-04-03 |
| 1316089097 | Medstar Homecare | Durable Medical Equipment & Medical Supplies | 906 Sandtown Road, Washington, GA 30673 | 2007-02-12 |
| 1639249600 | Wilkes County Board of Education | Local Education Agency (LEA) | 313 A. North Alexander Ave, Wilkes, GA 30673 | 2006-11-08 |
| 1396788097 | Wilkes County Board of Commissioners | Ambulance | 105 Marshall Street, Washington, GA 30673 | 2006-06-13 |
| 1568507879 | Charles Joseph Fievet Sr. | Pharmacist | 115 E Robert Toombs Ave, Washington, GA 30673 | 2007-02-21 |
| 1629378831 | Jessica Jo Fields | Physician Assistant | 212 Hospital Drive, Washington, GA 30673-0568 | 2010-10-22 |
| 1043263031 | Pruitthealth - Washington, LLC | Skilled Nursing Facility | 112 Hospital Drive, Washington, GA 30673-0578 | 2006-05-18 |
| Find all providers in zip 30673 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395275 | The Verlyn Group Dc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1341 H St Ne Ste 201, Washington, DC 20002-4406 | 2020-08-09 |
| 1689113722 | Surpassing The Average Rehabilitation Services (stars) | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 914 47th St Ne, Washington, DC 20019-3722 | 2017-02-22 |
| 1598152787 | Valentine Community Services, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 617 Raleigh Pl Se, Washington, DC 20032-4221 | 2015-04-25 |
| 1003205261 | Bridge To Independent Living, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5004 2nd St Nw Apt 1, Washington, DC 20011-4170 | 2015-01-12 |
| 1083035125 | Capitol Hill Supportive Services Program Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2052 W Virginia Ave Ne, Washington, DC 20002-1832 | 2013-12-16 |
| 1558605733 | Mind & Reason Advocacy Group, LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2806 Pomeroy Rd Se, 2808 Pomeroy Rd Se, Washington, DC 20020-5912 | 2012-11-12 |
| 1457610586 | Vcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8112 Eastern Ave Nw, Washington, DC 20012-1312 | 2012-05-09 |
| 1174896260 | Prudent Health Care Services Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1014 9th St Ne, Washington, DC 20002-3716 | 2012-02-20 |
| 1609157973 | Dc Health Care Services, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2833 Georgia Ave Nw, Washington, DC 20001-3862 | 2011-08-31 |
| 1215239389 | Dc Residential Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4356 Varnum Pl Ne, Washington, DC 20017-2101 | 2010-11-23 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 30673 |
Please comment or provide details below to improve the information on CSB OF EAST CENTRAL GA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.