HICKEY PCH – NPI #1851622484
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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.

HICKEY PCH is a residential treatment facility located in AUGUSTA, GA. NPPES has assigned the NPI number 1851622484 to HICKEY PCH on January 21, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HICKEY PCH” is a dba name, the actual legal business name for this organization is CSB OF EAST CENTRAL GA. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HICKEY PCH below.

NPI Profile for
CSB OF EAST CENTRAL GA

NPI Number
1851622484
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CSB OF EAST CENTRAL GA
Doing Business As (dba): HICKEY PCH
Primary location
1715 FOREST DRIVE
AUGUSTA, GA 30901
Phone: (706) 432-4858 Fax: (706) 432-3780
Mailing address
3421 MIKE PADGETT HWY
AUGUSTA, GA 30906-3815
Phone: Fax:
Organization Subpart
No
Authorized Official
WANDA JESSIE
BILLING MANAGER
Phone: (706) 432-4858
Updated
Identifiers

Identifiers for HICKEY PCH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA000927693AH
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.