OrganizationActive
Caregiver Ga, LLC
NPI 1629680293 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Augusta, GA
Provider details
- NPI number
- 1629680293
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Anna Todd, Operations Business Manager(800) 299-5161
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
3736 Executive Center Dr Ste B
Augusta, GA 30907-2360
Phone: (706) 426-4200
Approximate (ZIP-level) locationGet directions
Mailing address
4800 Overton Plz Ste 440
Fort Worth, TX 76109-4435
Registry dates
- Enumerated
- 2020-08-17
- Last updated
- 2020-08-17
- Certified
- 2020-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.