GRACE PCH
NPI 1053642686
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Augusta, GA

Active since January 21, 2010
2115 ASHLEY DR, AUGUSTA, GA 30906(706) 432-4858(706) 432-3780 Get Directions Write a Review

NPPES record last updated: January 21, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grace Pch NPPES

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

GRACE PCH (NPI 1053642686) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Augusta, Georgia and active in the NPI registry since January 2010. The organization lists Wanda Jessie, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1053642686
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameCSB OF EAST CENTRAL GA
Location Address2115 ASHLEY DRAugusta, GA 30906-5085
Mailing Address3421 Mike Padgett HwyAugusta, GA 30906-3815
Fax(706) 432-3780
Organization SubpartNo
Authorized OfficialWanda JessieBilling Manager · (706) 432-4858
Enumeration DateJanuary 21, 2010
NPI 1053642686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

2115 ASHLEY DR, Augusta, GA 30906

Other Names 1

Doing Business AsGrace Pch

Other Identifiers 1

Medicaid000927693AAGA

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 Csb Of East Central Ga's NPI number?

The NPI number for Csb Of East Central Ga is 1053642686. It was assigned to this organization in the NPPES registry on January 21, 2010. The provider is doing business as Grace Pch.

Where is Csb Of East Central Ga located?

Csb Of East Central Ga is located at 2115 Ashley Dr, Augusta, GA 30906. The listed phone number is (706) 432-4858.

What is Csb Of East Central Ga's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Csb Of East Central Ga was last updated on January 21, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.