CSB OF EAST CENTRAL GA


Address: 213 Hospital Dr, Washington, GA 30673-5628
Phone: 7064324858

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
GA 000605833S 05

Other Provider/Organization Names

Other Name Type Code
GA TASC WILKES: COMP 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
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

Office Location

Street Address 213 HOSPITAL DR
City WASHINGTON
State GA
Zip Code 30673-5628

Providers in the same location

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

Providers in the same zip code

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 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
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
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Competitor

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City WASHINGTON
Zip Code 30673

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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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