CSB OF EAST CENTRAL GEORGIA (NPI# 1689945909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689945909 |
| Entity Type | Organization |
| Organization Name | CSB OF EAST CENTRAL GEORGIA |
| Other Organization Name | LISA CABE PCH |
| Practice Address |
4054 Bath Edie Rd Blythe GA 30805-3600 |
| Mailing Address |
3421 Mike Padgett Hwy Augusta GA 30906-3815 |
| Practice Telephone | 7064327893 |
| Practice Fax Number | 7064323780 |
| Mailing Telephone | 7064327893 |
| Mailing Fax Number | 7064323780 |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |
| Authorized Official Name | MRS. MARGARET WEBB (BILLING SUPERVISOR) |
| Authorized Official Telephone | 7064327893 |
| 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 | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000927693AS | 05 |
| Other Name | Type Code |
|---|---|
| Lisa Cabe PCH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447326541 | Csb of East Central Georgia | Clinic/Center | 1720 Central Ave, Augusta, GA 30904-5737 | 2006-11-28 |
| 1285700385 | Csb of East Central Georgia | Clinic/Center | 3405 Building #15, Augusta, GA 30906-3815 | 2006-11-28 |
| 1659544369 | Csb of East Central Georgia | Clinic/Center | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2008-04-03 |
| 1609942119 | Csb of East Central Georgia | Clinic/Center | 124 Gordon St, Washington, GA 30673-1602 | 2006-11-27 |
| Street Address |
4054 BATH EDIE RD |
| City | BLYTHE |
| State | GA |
| Zip Code | 30805-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144668674 | Regina Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4072 Bath Edie Rd, Blythe, GA 30805-3600 | 2013-06-06 |
| 1356520696 | Sandra Arlene Adams | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4064 Bath Edie Rd, Blythe, GA 30805-3600 | 2007-11-02 |
| 1043541709 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4064 Bath Edie Rd, Blythe, GA 30805-3600 | 2010-01-20 |
| 1912210501 | Hill's House | Assisted Living Facility | 3649 Highway 88, Blythe, GA 30805-3620 | 2010-07-23 |
| 1356717797 | Erica R. Griffin LLC | Counselor | 561 Poole Melton Rd, Blythe, GA 30805-3813 | 2015-08-20 |
| 1043878721 | Keysville Ltc Management LLC | Skilled Nursing Facility | 1005 Ga Highway 88, Blythe, GA 30805-3911 | 2019-05-29 |
| 1831453604 | Michael Thomas Cavender | Family Medicine | 300 East Hospital Road, Dwight David Eisenhower Army Medical Center, Fort Gordon, GA 30805-5650 | 2012-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003436940 | County of Riverside | Community/Behavioral Health | 1225 W Hobsonway, Blythe, CA 92225-1423 | 2020-04-21 |
| 1356976179 | Corrections and Rehabilitation | Pharmacy | 19005 Wileys Well Road, Blythe, CA 92225 | 2020-03-12 |
| 1982250650 | Brighter Path Recovery Center LLC | Clinic/Center | 286 E Hobsonway, Blythe, CA 92225-1731 | 2019-08-17 |
| 1043878721 | Keysville Ltc Management LLC | Skilled Nursing Facility | 1005 Ga Highway 88, Blythe, GA 30805-3911 | 2019-05-29 |
| 1316407141 | Jennifer Cherie Han-rivas | Speech-Language Pathologist | 208 W Hobsonway, Blythe, CA 92225-1619 | 2019-03-20 |
| 1477025484 | Sayed N Ally | Pharmacist | 616 E Hobsonway, Blythe, CA 92225-1739 | 2019-01-02 |
| 1164994554 | Anna Rangel | Behavior Technician | 15033 S Lovekin Blvd, Blythe, CA 92225-9444 | 2018-12-22 |
| 1760957435 | V & E Management and Consulting | Transportation Broker | 159 N 1st St, Blythe, CA 92225-1701 | 2018-10-09 |
| 1235624081 | Tiffany Elaine Wade | Dentist | 146 S Broadway, Blythe, CA 92225-2502 | 2018-06-25 |
| 1215429170 | Lilja Susan Whiting | Case Manager/Care Coordinator | 240 N Broadway, Blythe, CA 92225-1609 | 2018-06-05 |
| Find all providers in BLYTHE | ||||
| 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 |
|---|---|---|---|---|
| 1356520696 | Sandra Arlene Adams | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4064 Bath Edie Rd, Blythe, GA 30805-3600 | 2007-11-02 |
| 1043541709 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4064 Bath Edie Rd, Blythe, GA 30805-3600 | 2010-01-20 |
| 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 |
| 1144747437 | Willie Mae Berry Pugh | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2013 Teal Court, Hephzibah, GA 30815 | 2017-08-28 |
| 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 |
| 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.