HIGHLAND RIVERS COMMUNITY SERVICE BOARD (NPI# 1003160284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003160284 |
| Entity Type | Organization |
| Organization Name | HIGHLAND RIVERS COMMUNITY SERVICE BOARD |
| Practice Address |
2133 Old Federal Rd S Chatsworth GA 30705-4701 |
| 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 | 2012-11-09 |
| Last Update Date | 2012-11-09 |
| 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 | 000936559GN | 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 |
| 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 |
| 1285987172 | Highland Rivers Community Service Board | Community/Behavioral Health | 895 Harmony Dr, Canton, GA 30114-7912 | 2012-10-17 |
| Street Address |
2133 OLD FEDERAL RD S |
| City | CHATSWORTH |
| State | GA |
| Zip Code | 30705-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582784 | Kayla Michelle Khan | Dentist | 221 N. 4th Avenue, Chatsworth, GA 30705 | 2018-06-14 |
| 1578079869 | Professional Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 113 West Pine Street, Chatsworth, GA 30705 | 2017-12-21 |
| 1518472778 | Rebecca Annette Lunsford | Case Manager/Care Coordinator | 165 Freedom Way, Chatsworth, GA 30705 | 2017-12-11 |
| 1306214630 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 502 Gi Maddox Parkway, Chatsworth, GA 30705 | 2015-09-03 |
| 1003231416 | Jessica Sanders | Nurse Practitioner | 800 Gi Maddox Pwky, Chatsworth, GA 30705 | 2014-02-20 |
| 1063731560 | Travis Mckie-voerste | Counselor | 96 Terrace Ct, Chatsworth, GA 30705 | 2010-05-24 |
| 1609962521 | Charlie Weichen Fang | Emergency Medicine | 707 Old Ellijay Road, Chatsworth, GA 30705 | 2006-10-05 |
| 1619941689 | Murray County Board of Health | Public Health or Welfare | 709 Dalton-ellijay Highway, Chatsworth, GA 30705 | 2006-02-15 |
| 1780671974 | Trom Enterprises, Inc. | Pharmacy | 101 Murray Plaza, Chatsworth, GA 30705 | 2005-10-03 |
| 1518953785 | Yara Fattouh | Family Medicine | 1111 Hwy 76, Chatsworth, GA 30705 | 2005-09-23 |
| Find all providers in zip 30705 | ||||
| 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 |
|---|---|---|---|---|
| 1487212460 | Josh Dunne | Community/Behavioral Health | 10227 Mason Ave Apt 105, Chatsworth, CA 91311-3352 | 2019-06-04 |
| 1568708741 | Highland Rivers Community Service Board | Community/Behavioral Health | 167 Wild Rose Dr, Chatsworth, GA 30705-3197 | 2012-12-17 |
| 1013260918 | Highland Rivers Community Service Board | Community/Behavioral Health | 1236 Old Federal Rd, Chatsworth, GA 30705-5189 | 2012-10-17 |
| 1285987198 | Highland Rivers Community Service Board | Community/Behavioral Health | 1249 Old Federal Rd N, Chatsworth, GA 30705-5190 | 2012-10-17 |
| 1811240898 | Highland Rivers Community Service Board | Community/Behavioral Health | 226 Twin Lakes Rd, Chatsworth, GA 30705-8262 | 2012-10-16 |
| 1215289483 | Highland Rivers Community Service Board | Community/Behavioral Health | 422 Falcon Circle, Chatsworth, GA 30705-8604 | 2012-10-11 |
| 1770835084 | Highland Rivers Community Service Board | Community/Behavioral Health | 18 Elbert St, Chatsworth, GA 30705-8619 | 2012-10-10 |
| 1962754275 | Highland Rivers Community Service Board | Community/Behavioral Health | 31 Ellis Cir, Chatsworth, GA 30705-7440 | 2012-10-10 |
| 1144572454 | Highland Rivers Community Service Board | Community/Behavioral Health | 1043 Smyrna Cir, Chatsworth, GA 30705-5823 | 2012-10-10 |
| 1134471444 | Highland Rivers Community Service Board | Community/Behavioral Health | 177 Crestview Dr, Chatsworth, GA 30705-5641 | 2012-10-10 |
| Find all providers in CHATSWORTH | ||||
| City | CHATSWORTH |
| Zip Code | 30705 |
Please comment or provide details below to improve the information on HIGHLAND RIVERS COMMUNITY SERVICE BOARD.
| 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.