Augusta Resource Center on Aging, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

AUGUSTA RESOURCE CENTER ON AGING, INC.

Doing business as

Brandon Wilde

Practice address

4275 Owens Rd
Evans, GA 30809-3066

Phone

(706) 868-3526

Fax

(706) 868-3525

NPI assigned

Oct 17, 2005

Organization subpart

Yes

Parent organization

UNIVERSITY HEALTH, INC.As reported in NPPES

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

Authorized official

Name

Mr. Richard Kisner

Title

President/Ceo

Phone

(706) 868-3527

Specialties & licenses 1

Addresses

Other names 1

• Brandon Wilde Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• University Health Services,Inc

  dba Piedmont Augusta Hospital

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566

  Member Of

  NPD member

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1508855115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 OWENS RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093066",
            "telephone_number": "706-868-3526",
            "fax_number": "706-868-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 OWENS RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093066",
            "telephone_number": "706-868-3526",
            "fax_number": "706-868-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA RESOURCE CENTER ON AGING, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY HEALTH, INC.",
        "enumeration_date": "2005-10-17",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "KISNER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "706-868-3527",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandon Wilde",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Augusta Endoscopy Center, LLC.
• Augusta ENT PC
• Augusta Foot & Ankle, PC
• Augusta Foot & Ankle, PC
• Augusta Orthodontic Center PC
• Augusta Urology Associates, LLC
• Augusta Urology Associates, LLC
• William Troy Austin, MD
• Autumn's Harbor, LLC
• Christopher McAlister Ayers, M.D.

• Skilled Nursing Facility in Evans, GA
• Providers in Evans, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.