COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA
NPI 1013474915
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hephzibah, GA

Q: What is Community Service Board Of East Central Georgia's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since February 27, 2019

1715 LAWERENCE RD, HEPHZIBAH, GA 30815(706) 432-4837 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Community Service Board Of East Central Georgia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA (NPI 1013474915) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Hephzibah, Georgia and active in the NPI registry since February 2019. The organization lists Michele Prior, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1013474915

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameCOMMUNITY SERVICE BOARD OF EAST CENTRAL GEORGIA

Location Address1715 LAWERENCE RDHephzibah, GA 30815-4445

Mailing Address3421 Mike Padgett HwyAugusta, GA 30906-3815

Phone(706) 432-4837

Organization SubpartNo

Authorized OfficialMichele PriorBilling Supervisor · (706) 432-4837

Enumeration DateFebruary 27, 2019

✔ NPI 1013474915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

1715 LAWERENCE RD, Hephzibah, GA 30815

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Other Identifiers 1

Medicaid000605833ARGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Service Board Of East Central Georgia's NPI number?

The NPI number for Community Service Board Of East Central Georgia is 1013474915. It was assigned to this organization in the NPPES registry on February 27, 2019.

Where is Community Service Board Of East Central Georgia located?

Community Service Board Of East Central Georgia is located at 1715 Lawerence Rd, Hephzibah, GA 30815. The listed phone number is (706) 432-4837.

What is Community Service Board Of East Central Georgia's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Community Service Board Of East Central Georgia was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.