CSB OF EAST CENTAL GA (NPI# 1811481245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811481245 |
| Entity Type | Organization |
| Organization Name | CSB OF EAST CENTAL GA |
| Other Organization Name | GERMANY HOST HOME |
| Practice Address |
460 White Rd Harlem GA 30814-3408 |
| Mailing Address |
3421 Mike Padgett Hwy Augusta GA 30906-3815 |
| Practice Telephone | 7069015072 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Authorized Official Name | MICHELE PRIOR (BILLING MANAGER) |
| Authorized Official Telephone | 7064324837 |
| 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 |
| Other Name | Type Code |
|---|---|
| Germany Host Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Street Address |
460 WHITE RD |
| City | HARLEM |
| State | GA |
| Zip Code | 30814-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127088 | Harlem Family Dental | Clinic/Center | 150-160 North Louisville Street, Harlem, GA 30814 | 2019-07-25 |
| 1538539093 | Southerland Clark Enterprises LLC | Respite Care | 315 N. Louisville St., Harlem, GA 30814 | 2015-09-28 |
| 1316088750 | Kays Pharmacy Inc | Pharmacy | 203 N Louisville St, Harlem, GA 30814 | 2007-02-09 |
| 1770955072 | Brandy Nicole Jones | Mechanotherapist | 315 N. Louisville St., Harlem, GA 30814 | 2015-10-26 |
| 1477005718 | Crystal Cook-mcknight | Nurse Practitioner | 1419 Clary Cut Rd, Harlem, GA 30814-3109 | 2016-11-03 |
| 1437490976 | Forever Home | Home Health | 1551 Joy Rd, Harlem, GA 30814-4117 | 2013-03-07 |
| 1659610806 | West Forrest | Assisted Living Facility | 280 W Forrest St, Harlem, GA 30814-4637 | 2013-02-07 |
| 1700202306 | The Haven of Harlem | Clinic/Center | 285 Fairview Dr, Harlem, GA 30814-5096 | 2014-03-07 |
| 1932684032 | Medctr Inc | Pharmacy | 170 W.milledgeville Road, Harlem, GA 30814-5125 | 2018-09-25 |
| 1093993883 | Daniel Francis Massa | Chiropractor | 315 N Louisville St Ste C, Harlem, GA 30814-5356 | 2008-02-05 |
| Find all providers in zip 30814 | ||||
| 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 |
|---|---|---|---|---|
| 1790385862 | Hickory Log Vocational School Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3680 Highway 411 Ne, White, GA 30184-2427 | 2020-10-28 |
| 1801403050 | Safe Haven Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10875 Abercorn St Apt 132, Savannah, GA 31419-1843 | 2020-09-30 |
| 1659987931 | Pinkies Place | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 216 Self St, Warner Robins, GA 31088-5506 | 2020-09-22 |
| 1629680293 | Caregiver Ga, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3736 Executive Center Dr Ste B, Augusta, GA 30907-2360 | 2020-08-17 |
| 1730799073 | Victory Won Counseling and Res Care Prof. Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5014 Snapfinger Woods Dr, Decatur, GA 30035-4003 | 2020-08-02 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1619519709 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 516 Freedom Trl, Brunswick, GA 31525-4712 | 2019-10-10 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 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 |
| 1013474915 | Community Service Board of East Central Georgia | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1715 Lawerence Rd, Hephzibah, GA 30815-4445 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
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| 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.