NPIMap

Organization Active NPI

HHC Augusta, Inc

Doing business as Lighthouse Care Center of Augusta

  • Psychiatric Hospital
  • Augusta, GA
National Provider Identifier
1376633578
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
121692 Issued in GA
Legal business name
HHC AUGUSTA, INC
Doing business as
Lighthouse Care Center of Augusta
Practice address
3100 Perimeter Parkway
Augusta, GA 30909-4583
Phone
(706) 651-0005
Fax
(706) 650-7666
NPI assigned
Oct 16, 2006
Last updated
Dec 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steve Filton
Title
SRVP Cfo
Phone
(610) 768-3300

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 121692 GA Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X CCI001286 GA
Psychiatric Residential Treatment Facility 323P00000X 121-658 GA
Psychiatric Residential Treatment Facility 323P00000X CCI001286 GA

Addresses

Primary practice location

3100 Perimeter Parkway
Augusta, GA 30909-4583

Mailing address

3100 Perimeter Parkway
Augusta, GA 30909-4583
Phone (706) 651-0005

Other identifiers 4

IdentifierTypeStateIssuer
892MXHMedicaidSC
238497179AMedicaidGA
885MXHMedicaidSC
238497179BMedicaidGA

Other names 1

  • Lighthouse Care Center of Augusta Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376633578. Details of each certification follow.

Hospital certification: CCN 114027

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHARTER AUGUSTA BEHAVIORAL HEALTH SYS
Certification status
Terminated Voluntary: other reason for withdrawal, Feb 25, 2000
Provider type (POS)
Hospital – Psychiatric
Participating since
Jan 19, 1987
Last certification
Apr 2, 1998
Beds
63
Ownership / control type
Private (for profit)
Facility address
3100 Perimeter Parkway
Augusta, GA 30909

National Provider Directory

National Provider Directory
Tax ID family
HHC Augusta Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1376633578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 PERIMETER PARKWAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094583",
            "telephone_number": "706-651-0005",
            "fax_number": "706-650-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PERIMETER PARKWAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094583",
            "telephone_number": "706-651-0005",
            "fax_number": "706-650-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HHC AUGUSTA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SRVP CFO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "GA",
            "license": "121692",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "GA",
            "license": "CCI001286",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "GA",
            "license": "121-658",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "GA",
            "license": "CCI001286",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892MXH",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238497179A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885MXH",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238497179B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Care Center of Augusta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.