CAREGIVER GA, LLC (NPI# 1629680293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629680293 |
| Entity Type | Organization |
| Organization Name | CAREGIVER GA, LLC |
| Practice Address |
3736 Executive Center Dr Ste B Augusta GA 30907-2360 |
| Mailing Address |
4800 Overton Plz Ste 440 Fort Worth TX 76109-4435 |
| Practice Telephone | 7064264200 |
| Mailing Telephone | 8002995161 |
| Mailing Fax Number | 8174473033 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | ANNA TODD (OPERATIONS BUSINESS MANAGER) |
| Authorized Official Telephone | 8002995161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
3736 EXECUTIVE CENTER DR STE B |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30907-2360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917369 | Rem New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Dickerson Rd, Augusta, NJ 07822-2006 | 2019-02-05 |
| 1164995965 | Community Service Board of East Central Georgia | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1908 Driftwood Dr, Augusta, GA 30909-4113 | 2019-01-04 |
| 1407395023 | Csb of East Cental Ga | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3535 Biltmore Pl, Augusta, GA 30906-4503 | 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 |
| 1922352582 | Scarc, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Us Route 206, Suite 100, Augusta, NJ 07822 | 2012-11-05 |
| 1326310947 | Americanwork, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3957 Old Waynesboro Rd, Augusta, GA 30906-8113 | 2012-01-27 |
| 1528340379 | Tiffany A Towns | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2843 Ridgeview Dr, Augusta, GA 30909-9641 | 2011-09-16 |
| 1992006365 | Jackson's Personal Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2377 Dublin Dr, Augusta, GA 30906-4020 | 2010-11-16 |
| 1366510067 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2311 Mura Dr, Augusta, GA 30906-4819 | 2006-12-01 |
| 1083154553 | Csb of East Central Ga | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3126 Richmond Hill Rd, Augusta, GA 30906-4754 | 2017-03-03 |
| Find all providers in AUGUSTA | ||||
Please comment or provide details below to improve the information on CAREGIVER GA, LLC.
| 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.