HIGHLAND RIVERS COMMUNITY SERVICE BOARD (NPI# 1538410519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538410519 |
| Entity Type | Organization |
| Organization Name | HIGHLAND RIVERS COMMUNITY SERVICE BOARD |
| Practice Address |
413 Cherokee Lane Dalton GA 30721-7882 |
| Mailing Address |
1401 Applewood Dr Ste 1 Dalton GA 30720-2699 |
| Practice Telephone | 7062705033 |
| Practice Fax Number | 7063707749 |
| Mailing Telephone | 7062705033 |
| Mailing Fax Number | 7063707749 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-12 |
| Authorized Official Name | ROBIN WHITLOW (BILLING MANAGER) |
| Authorized Official Telephone | 7062705033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000936559BY | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144560491 | Highland Rivers Community Service Board | Community/Behavioral Health | 395 April Ln, Blue Ridge, GA 30513-4316 | 2013-02-25 |
| 1518205046 | Highland Rivers Community Service Board | Community/Behavioral Health | 75 Parksbrook Rd, Ellijay, GA 30540-7477 | 2013-01-17 |
| 1568708741 | Highland Rivers Community Service Board | Community/Behavioral Health | 167 Wild Rose Dr, Chatsworth, GA 30705-3197 | 2012-12-17 |
| 1770829103 | Highland Rivers Community Service Board | Community/Behavioral Health | 7 Crosscreek Dr Nw, Rome, GA 30165-1202 | 2012-12-12 |
| 1003160284 | Highland Rivers Community Service Board | Community/Behavioral Health | 2133 Old Federal Rd S, Chatsworth, GA 30705-4701 | 2012-11-09 |
| 1912250820 | Highland Rivers Community Service Board | Community/Behavioral Health | 123 Lewis St, Summerville, GA 30747-1260 | 2012-10-17 |
| 1629321526 | Highland Rivers Community Service Board | Community/Behavioral Health | 227 Broad St, Tallapoosa, GA 30176-1128 | 2012-10-17 |
| 1427301324 | Highland Rivers Community Service Board | Community/Behavioral Health | 32 Arnold Ln, Hiram, GA 30141-3900 | 2012-10-17 |
| 1518210418 | Highland Rivers Community Service Board | Community/Behavioral Health | 268 Canaan Rd, Ellijay, GA 30540-0849 | 2012-10-17 |
| 1598018491 | Highland Rivers Community Service Board | Community/Behavioral Health | 4 Glenda Dr Sw, Rome, GA 30165-3622 | 2012-10-17 |
| Street Address |
413 CHEROKEE LANE |
| City | DALTON |
| State | GA |
| Zip Code | 30721-7882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417322942 | Alison Gobel | Case Manager/Care Coordinator | 2611 Clevland Hwy, Dalton, GA 30721 | 2015-12-09 |
| 1528433026 | Crystal Sparks | Case Manager/Care Coordinator | 2611 Cleveland Highway, Dalton, GA 30721 | 2015-12-09 |
| 1043524838 | Quality Care Concepts, Inc. | Durable Medical Equipment & Medical Supplies | 121 Tilton Road, Dalton, GA 30721 | 2010-08-04 |
| 1538490081 | Jennifer Sawyer | Counselor | 720 S. Glenwood Ave, Ste 112, Dalton, GA 30721 | 2010-01-22 |
| 1831210673 | Linda E. Minter | Case Manager/Care Coordinator | 932 Williams Rd. Nw, Dalton, GA 30721 | 2007-04-02 |
| 1265595318 | M Edwin Caylor Dds PC | Dentist | 2880 Cleveland Hwy, Dalton, GA 30721 | 2006-12-19 |
| 1295823003 | Candler Road Dental, PC | Dentist | 2107 E. Walnut Ave., Dalton, GA 30721 | 2006-10-10 |
| 1508872466 | Family Walk-in Clinic | Family Medicine | 1100 E Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-31 |
| 1225056823 | James L Coone | Family Medicine | 1100 E. Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-18 |
| 1770517591 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1205 N Glenwood Road, Dalton, GA 30721 | 2006-07-10 |
| Find all providers in zip 30721 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871047647 | Advanced Creative Solutions | Community/Behavioral Health | 307 Sparks Ln, Dalton, GA 30720-5815 | 2016-08-10 |
| 1902159981 | Highland Rivers Community Service Board | Community/Behavioral Health | 481 Scarlett Drive, Dalton, GA 30721-7893 | 2012-10-16 |
| 1760734792 | Highland Rivers Community Service Board | Community/Behavioral Health | 282 Wilson Ave, Dalton, GA 30720-5871 | 2012-10-15 |
| 1558614586 | Highland Rivers Community Service Board | Community/Behavioral Health | 244 Caisson Way, Dalton, GA 30721-4772 | 2012-10-15 |
| 1124370101 | Highland Rivers Community Service Board | Community/Behavioral Health | 324 Sycamore Cir, Dalton, GA 30721-5057 | 2012-10-15 |
| 1649523671 | Highland Rivers Community Service Board | Community/Behavioral Health | 2676 S Riverbend Rd, Dalton, GA 30721-5221 | 2012-10-15 |
| 1538411533 | Highland Rivers Community Service Board | Community/Behavioral Health | 3436 Discovery Lane, Dalton, GA 30721-1729 | 2012-10-15 |
| 1003169038 | Highland Rivers Community Service Board | Community/Behavioral Health | 1968 Dawnville Beaverdale Rd Ne, Dalton, GA 30721-7105 | 2012-10-15 |
| 1245582360 | Highland Rivers Community Service Board | Community/Behavioral Health | 351 Remington Way, Dalton, GA 30721-9178 | 2012-10-12 |
| 1245582311 | Highland Rivers Community Service Board | Community/Behavioral Health | 2615 Cleveland Hwy Ste 2, Dalton, GA 30721-8160 | 2012-10-12 |
| Find all providers in DALTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.