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Contact Information

CSRA HOLDINGS LLC
2803 WRIGHTSBORO RD STE 38
AUGUSTA, GA30909-3994
 Phone: 706-729-6000
 Fax: 706-729-6451
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Personal Emergency Response Attendant

146D00000X
Indicates primary specialty

NPI Profile & details for CSRA HOLDINGS LLC

NPI Number 1992780076
LBN Legal business name CSRA HOLDINGS LLC
Authorized official LAURIE HOLTSFORD - (DIRECTOR, BUSINESS OFFICE SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2005
Last updated 01/20/2012 - About 14 years ago
Identifiers
GA License # 121020
SC License # HHA035
GA Medicaid 000041346A
GA Medicaid 000041346B
GA Medicaid 000041346C
GA Medicaid 000041346G
GA Medicaid 000510133A
SC Medicaid 117025
SC Medicaid DE1243
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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