CSB OF EAST CENTRAL GA


Address: 3015 Manchester Dr, Hephzibah, GA 30815-7166
Phone: 7064324858

CSB OF EAST CENTRAL GA (NPI# 1346565926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346565926
Entity Type Organization
Organization Name CSB OF EAST CENTRAL GA
Other Organization Name ANNETTE DAVIS PCH
Practice Address 3015 Manchester Dr
Hephzibah
GA 30815-7166
Mailing Address 3421 Mike Padgett Hwy
Augusta
GA 30906-3815
Practice Telephone 7064324858
Practice Fax Number 7064323780
Mailing Telephone 7064324858
Mailing Fax Number 7064323780
Enumeration Date 2010-04-07
Last Update Date 2010-04-07
Authorized Official Name WANDA JESSIE (BILLING MANAGER)
Authorized Official Telephone 7064324858
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA 000927693AP 05

Other Provider/Organization Names

Other Name Type Code
ANNETTE DAVIS PCH Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1790016327 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2110 Stevens Rd, Augusta, GA 30906-2058 2010-01-21

Office Location

Street Address 3015 MANCHESTER DR
City HEPHZIBAH
State GA
Zip Code 30815-7166

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679091458 Specialized Healthcare Services Inc In Home Supportive Care 2920 Tobacco Road, Suit A, Hephzibah, GA 30815 2017-08-31
1144747437 Willie Mae Berry Pugh Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2013 Teal Court, Hephzibah, GA 30815 2017-08-28
1811448319 Butterfly Gardens Hospice & Palliative Care Hospice, Inpatient 3112 Blackmon Court, Hephzibah, GA 30815 2016-10-19
1841651098 Michelle Sherrie Coleman Home Health Aide 2708 Bob White Court, Hephzibah, GA 30815 2016-03-16
1285046409 Allison Dionne Harden Bostic Nurse's Aide 1557 Brown Rd, Hephzibah, GA 30815 2014-05-22
1568802353 Daryl Wolf Chiropractor 2742 Willis Foreman Rd., Hephzabah, GA 30815 2013-06-26
1336467547 Gussie Holmes Lawson Adult Companion 2412 Orchard Dr., Hephzibah, GA 30815 2010-05-12
1275864811 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2232 Montcrief Drive, Hephzibah, GA 30815 2010-01-21
1376878801 Freeman's Second Time Around Healthcare Services Home Health 2716 Castletown Dr, Hephzibah, GA 30815 2009-10-16
1205028545 Tonia Lynn Manley Licensed Practical Nurse 38th Street Building 38707, Fort Gordon, GA 30815 2007-08-10
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144747437 Willie Mae Berry Pugh Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2013 Teal Court, Hephzibah, GA 30815 2017-08-28
1619354685 Zorana Kostoski Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4466 Fulcher Rd, Hephzibah, GA 30815-5579 2015-04-29
1164753703 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2657 Teakwood Dr, Hephzibah, GA 30815-6000 2010-01-21
1295066835 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4006 Ramswood Dr, Hephzibah, GA 30815-5849 2010-01-21
1518298116 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 848 Manderson Cir, Hephzibah, GA 30815-6781 2010-01-21
1275864811 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2232 Montcrief Drive, Hephzibah, GA 30815 2010-01-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437764925 Calveina Forde Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 538 Country Lake Dr, Mcdonough, GA 30252-2683 2020-09-10
1730715814 Tyler Rose Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 116 South Mill Creek Court, Woodstock, GA 30188 2020-03-20
1023677713 Earlean Blackwell Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1865 Waldrep Cir Se, Marietta, GA 30060-4927 2019-06-06
1629535216 Carpenter Host Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 806 Grady Ave N, Douglas, GA 31533-4812 2019-03-01
1700354859 View Point Health Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 160 Longstreet Cir, Oxford, GA 30054-2244 2018-11-07
1760950901 View Point Health Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2116 Tudor Castle Cir, Decatur, GA 30035-2158 2018-11-06
1881116721 Springhill Manor Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 600 Spring Hill Drive, Covington, GA 30016 2017-07-12
1093175283 Peaceful River Residential Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 746 Rudgate Rd, Columbus, GA 31904-2929 2016-03-01
1548649494 Prestige Community Living Center Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2328 Bigwood Trl, Atlanta, GA 30349-9049 2015-05-26
1568840320 Say So Private Home Care Services, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4485 Dorset Cir, Decatur, GA 30035-4206 2015-05-13
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Competitor

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City HEPHZIBAH
Zip Code 30815

Improve Information

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Dataset Information

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.

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