GORMLEY PCH
NPI 1871824409
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Augusta, GA
- Organization
- Residential Treatment Facility, Intellec...
About GORMLEY PCH
This page provides the complete NPI Profile along with additional information for Gormley Pch, a provider established in Augusta, Georgia operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1871824409 assigned on January 2010. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Gormley Pch. The authorized official of this NPI record is Wanda Jessie (Billing Manager)
- NPI
- 1871824409 Verify this NPI
- Provider Legal Name
- CSB OF EAST CENTRAL GA
- Other Organization Name
- GORMLEY PCH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1086 HORSESHOE RD AUGUSTA, GA 30906
- Location Phone
- (706) 432-4858
- Location Fax
- (706) 432-3780
- Mailing Address
- 3421 MIKE PADGETT HWY AUGUSTA, GA 30906
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-21-2010
- Last Update Date
- 01-21-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000927693AD | MEDICAID (05) | GA |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871824409, enumerated as an "organization" on January 21, 2010.
The provider is located at 1086 HORSESHOE RD AUGUSTA, GA 30906 and the phone number is (706) 432-4858.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.