Csra Private Duty, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

157-R-0003 Issued in GA

Legal business name

CSRA PRIVATE DUTY, INC

Practice address

208 Gordon St
Washington, GA 30673-1604

Phone

(706) 678-3108

Fax

(706) 678-3111

NPI assigned

Mar 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert R Hardy

Title

Administrator

Phone

(706) 678-3108

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396862496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "WASHINGTON",
            "state": "GA",
            "postal_code": "306730254",
            "telephone_number": "706-678-3108",
            "fax_number": "706-678-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 GORDON ST",
            "city": "WASHINGTON",
            "state": "GA",
            "postal_code": "306731604",
            "telephone_number": "706-678-3108",
            "fax_number": "706-678-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSRA PRIVATE DUTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-678-3108"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "157-R-0003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Washington, GA
• Providers in Washington, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.