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JACKIE WEST
NPI 1700101391
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Augusta, GA

Active since April 07, 2010
2006 COUNTRY PLACE DR, AUGUSTA, GA 30906(706) 432-4858(706) 432-3780 Get Directions Write a Review

NPPES record last updated: April 7, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackie West NPPES

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

JACKIE WEST (NPI 1700101391) 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 April 2010. The organization lists Wanda Jessie, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1700101391
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameCSB OF EAST CENTRAL GA
Location Address2006 COUNTRY PLACE DRAugusta, GA 30906-8732
Mailing Address3421 Mike Padgett HwyAugusta, GA 30906-3815 · (706) 432-4858 · Fax (706) 432-3780
Phone(706) 432-4858
Fax(706) 432-3780
Organization SubpartNo
Authorized OfficialWanda JessieBilling Manager · (706) 432-4858
Enumeration DateApril 7, 2010
✔ NPI 1700101391 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.
2006 COUNTRY PLACE DR, Augusta, GA 30906
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Other Names 1

Doing Business AsJackie West

Other Identifiers 1

Medicaid000927693AOGA

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 1700101391. It was assigned to this organization in the NPPES registry on April 7, 2010. The provider is doing business as Jackie West.

Where is Csb Of East Central Ga located?

Csb Of East Central Ga is located at 2006 Country Place 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 April 7, 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.