Gingerhill Alternative Living Service

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

R20392 Issued in GA

Legal business name

GINGERHILL ALTERNATIVE LIVING SERVICE

Doing business as

Csra Health Service

Practice address

1203 George C Wilson Dr
Suite a
Augusta, GA 30909-4502

Phone

(706) 869-8400

NPI assigned

Jan 17, 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

Angie D Talkington

Title

Office Manager

Phone

(706) 869-8400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CSRA HEALTH SERVICE Doing business as

Tax ID family

Csra Health Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Gingerhill Alternative Living Service, Inc

  dba Csra Health Service

  • Case Management Agency
  • Augusta, GA
  • NPI 1598844235
  NPD tax ID

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649322918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 GEORGE C WILSON DR",
            "address_2": "SUITE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094502",
            "telephone_number": "706-869-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 GEORGE C WILSON DR",
            "address_2": "SUITE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094502",
            "telephone_number": "706-869-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINGERHILL ALTERNATIVE LIVING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TALKINGTON",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-869-8400"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "R20392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00272071A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00272071B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSRA HEALTH SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mamie Lee Gilliard
• Ralph A. Gillies, PHD
• Tessa Nicole Gilmore, LMSW
• Elizabeth Gilstrap, PT, DPT
• Elizabeth Kristine Ginelli, MD
• Gingerhill Alternative Living Service, Inc (Csra Health Service)
• Teja Ginjupalli, MD
• Leah Ginn, DO
• Tommy Neal Ginn, M.D.
• Jose Ariel Giraldo Florez, MD

• Case Management Agency in Augusta, GA
• Providers in Augusta, GA by specialty
• Case Management 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.