SOTO ASSISTED LIVING GROUP INC. NPI 1306082169

NPI Information

NPI: 1306082169
Provider Name: SOTO ASSISTED LIVING GROUP, INC.

Doing Business As: SOTO ALG

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
3736 EXECUTIVE CENTER DR
AUGUSTA, GA
ZIP 30907
Phone: (706) 426-4200
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SOTO ASSISTED LIVING GROUP, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Augusta, GA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. SOTO ASSISTED LIVING GROUP, INC. NPI is 1306082169. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Soto Alg.

The provider's business location address is:

3736 EXECUTIVE CENTER DR
AUGUSTA, GA
ZIP 30907-360
Phone: (706) 426-4200
Fax: (706) 426-4201

The provider's authorized official is Allan John Soto .
The authorized official title is President/ceo and has the following contact phone number (706) 426-4200.

The enumeration date for this NPI number is 12/29/2008 and was last updated on 7/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	103K00000X	Behavior Analyst	No
2	222Q00000X	Developmental Therapist	No
3	225X00000X	Occupational Therapist	No
4	235Z00000X	Speech-Language Pathologist	No
5	251C00000X	Day Training, Developmentally Disabled Services	No
6	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	231152062E	MEDICAID	GEORGIA
2	231152062O	MEDICAID	GEORGIA
3	231152062V	MEDICAID	GEORGIA
4	231152062AB	MEDICAID	GEORGIA
5	231152062AE	MEDICAID	GEORGIA
6	231152062R	MEDICAID	GEORGIA
7	231152062F	MEDICAID	GEORGIA
8	231152062L	MEDICAID	GEORGIA
9	231152062M	MEDICAID	GEORGIA
10	231152062Q	MEDICAID	GEORGIA
11	231152062AD	MEDICAID	GEORGIA
12	231152062H	MEDICAID	GEORGIA
13	231152062K	MEDICAID	GEORGIA
14	231152062A	MEDICAID	GEORGIA
15	231152062AF	MEDICAID	GEORGIA
16	231152062D	MEDICAID	GEORGIA
17	231152062I	MEDICAID	GEORGIA
18	231152062N	MEDICAID	GEORGIA
19	231152062T	MEDICAID	GEORGIA
20	231152062B	MEDICAID	GEORGIA
21	231152062S	MEDICAID	GEORGIA
22	231152062W	MEDICAID	GEORGIA
23	231152062AA	MEDICAID	GEORGIA
24	231152062Z	MEDICAID	GEORGIA
25	231152062J	MEDICAID	GEORGIA
26	231152062P	MEDICAID	GEORGIA
27	231152062U	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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