NPIMap

Organization Active NPI

Csra Holdings LLC

  • Community Based Hospice Care Agency
  • Augusta, GA
National Provider Identifier
1508841214
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
121-0273-H Issued in GA
Legal business name
CSRA HOLDINGS LLC
Practice address
2803 Wrightsboro Rd Ste 38
Augusta, GA 30909-3994
Phone
(706) 729-6000
Fax
(706) 729-6451
NPI assigned
Dec 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Laurie Holtsford
Title
Director, Business Office Services
Phone
(615) 465-7466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 121-0273-H GA Primary
Community Based Hospice Care Agency 251G00000X HPC-116 SC

Addresses

Primary practice location

2803 Wrightsboro Rd Ste 38
Augusta, GA 30909-3994

Mailing address

2803 Wrightsboro Rd Ste 38
Augusta, GA 30909-3994
Phone (706) 729-6000

Other identifiers 2

IdentifierTypeStateIssuer
HSP022MedicaidSC
000370928AMedicaidGA

Other names 1

  • Trinity Hospice - Augusta Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1508841214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 WRIGHTSBORO RD STE 38",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093994",
            "telephone_number": "706-729-6000",
            "fax_number": "706-729-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 WRIGHTSBORO RD STE 38",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093994",
            "telephone_number": "706-729-6000",
            "fax_number": "706-729-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSRA HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR, BUSINESS OFFICE SERVICES",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "121-0273-H",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": "HPC-116",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP022",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000370928A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Hospice - Augusta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.