HEINHOLD PCH
NPI 1114258753
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Thomson, GA

Q: What is Csb Of East Central Ga's NPI number?

The NPI number for Csb Of East Central Ga is 1114258753. It was assigned to this organization in the NPPES registry on January 21, 2010. The provider is doing business as Heinhold Pch.

Q: 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.

Active since January 21, 2010

1669 CAROLYN LAKE CIR, THOMSON, GA 30824(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: August 02, 2026.

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About Heinhold Pch NPPES

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

HEINHOLD PCH (NPI 1114258753) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Thomson, Georgia and active in the NPI registry since January 2010. The organization lists Wanda Jessie, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1114258753

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameCSB OF EAST CENTRAL GA

Location Address1669 CAROLYN LAKE CIRThomson, GA 30824-4523

Mailing Address3421 Mike Padgett HwyAugusta, GA 30906-3815

Phone(706) 432-4858

Fax(706) 432-3780

Organization SubpartNo

Authorized OfficialWanda JessieBilling Manager · (706) 432-4858

Enumeration DateJanuary 21, 2010

✔ NPI 1114258753 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.

1669 CAROLYN LAKE CIR, Thomson, GA 30824

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Other Names 1

Doing Business AsHeinhold Pch

Other Identifiers 1

Medicaid000927693ABGA

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 1114258753. It was assigned to this organization in the NPPES registry on January 21, 2010. The provider is doing business as Heinhold Pch.

Where is Csb Of East Central Ga located?

Csb Of East Central Ga is located at 1669 Carolyn Lake Cir, Thomson, GA 30824. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.