Absolute Family PCH

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

121013181 Issued in GA

Legal business name

ABSOLUTE FAMILY PCH

Doing business as

1ST Choice Transitional Living Facility

Practice address

2035 Old Savannah Rd.
Augusta, GA 30901

Phone

(706) 394-8093

NPI assigned

Sep 1, 2009

Last updated

Sep 1, 2009By 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. Philandis Wimbush

Title

Administrator

Phone

(706) 394-8093

Specialties & licenses 1

Addresses

Other names 1

• 1ST Choice Transitional Living Facility Doing business as

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1760615280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 COLEMAN AVE.",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30906",
            "telephone_number": "706-364-7588",
            "fax_number": "706-364-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 OLD SAVANNAH RD.",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-394-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE FAMILY PCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "WIMBUSH",
        "authorized_official_first_name": "PHILANDIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-394-8093",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "GA",
            "license": "121013181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1ST Choice Transitional Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kalyka Sarah Abraham, COTA
• Anne Abrams
• Robert Coronna Abramson, MD
• Gabriela Abreu
• Lynne Victoria Abruzzo, M.D., PHD
• Deaa Al-Daen Nahid Hassan Abu-Jazar, M.D
• Abdul Rahman Mustafa Hasan Abualruz, MD
• Jamal M Abushaala, M.D.
• Adil M Abuzeid, M.D.
• Academy of Cataract and Laser Surgery, PC

• Point of Service in Augusta, GA
• Providers in Augusta, GA by specialty
• Point of Service in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.