Central Georgia Health Ventures, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CENTRAL GEORGIA HEALTH VENTURES, INC

Doing business as

D/B/A Central Georgia Home Care Services
Life Boutique

Practice address

800 1St St Ste 100
Macon, GA 31201-8395

Phone

(478) 633-5700

NPI assigned

Jan 5, 2012

Last updated

Aug 9, 2019By 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

Mrs. Chris Wilde

Title

Evp Enterprise Cfo

Phone

(478) 633-1452

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• D/B/A Central Georgia Home Care Services Doing business as
• Life Boutique Doing business as

Member of 1

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

• The Charlotte-Mecklenburg Hospital Authority

  dba Atrium Health Cabarrus Inpatient Psych Unit

  • Psychiatric Hospital Unit
  • Concord, NC
  • NPI 1629283866

  Member Of

  NPD member

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1679843825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 EISENHOWER PKWY",
            "address_2": "SUITE 5",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312060800",
            "telephone_number": "478-633-5700",
            "fax_number": "478-781-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 1ST ST STE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018395",
            "telephone_number": "478-633-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL GEORGIA HEALTH VENTURES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "WILDE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "EVP ENTERPRISE CFO",
        "authorized_official_telephone_number": "478-633-1452",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000826042A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D/B/A Central Georgia Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Georgia Eye Designs, Inc. (Eye Designs Optical)
• Central Georgia Foot and Ankle Center PC
• Central Georgia Gastroenterology, LLC
• Central Georgia Gynecology II LLC
• Central Georgia Gynecology LLC
• Central Georgia Heart Center, PC
• Central Georgia Heart Center, PC (Central Georgia Heart Center)
• Central Georgia Home Care Services, Inc. (The Company Store)
• Central Georgia Homecare Services, Inc (The Company Store)
• Central Georgia Infectious Diseases Associates, LLC

• Durable Medical Equipment & Medical Supplies in Macon, GA
• Providers in Macon, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.