NPIMap

Organization Active NPI

Csra Holdings LLC

  • Home Health Agency
  • Augusta, GA
National Provider Identifier
1992780076
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
121020 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 12, 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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 146D00000X
Home Health Agency 251E00000X 121020 GA Primary
Home Health Agency 251E00000X HHA035 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 7

IdentifierTypeStateIssuer
117025MedicaidSC
000510133AMedicaidGA
DE1243MedicaidSC
000041346AMedicaidGA
000041346GMedicaidGA
000041346BMedicaidGA
000041346CMedicaidGA

Other names 1

  • Trinity Home Health - Augusta Doing business as

National Provider Directory

National Provider Directory

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1992780076",
    "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": "2005-12-12",
        "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": "146D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "121020",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "HHA035",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117025",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000510133A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1243",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000041346A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000041346G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000041346B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000041346C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Home Health - 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.