HIGHLAND RIVERS CSB (NPI# 1043373467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043373467 |
| Entity Type | Organization |
| Organization Name | HIGHLAND RIVERS CSB |
| Other Organization Name | HIGHLAND RIVERS CHEROKEE OFFICE |
| Practice Address |
191 Lamar Haley Dr Canton GA 30114-8019 |
| Mailing Address |
1401 Applewood Drive Suite 1 Dalton GA 30720-2699 |
| Practice Telephone | 7707041600 |
| Practice Fax Number | 7707041610 |
| Mailing Telephone | 7062705002 |
| Mailing Fax Number | 7063707749 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2011-09-20 |
| Authorized Official Name | MR. JASON BEARDEN (CEO) |
| Authorized Official Telephone | 7062705000 |
| Is Organization Subpart | Y |
| Parent Organization Name | HIGHLAND RIVERS CENTER, CSB |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | GA | Agencies | |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000601807B | 05 | |
| GA | ORGANIZATION MASTER NPI | 1447256243 | 01 |
| Other Name | Type Code |
|---|---|
| Highland Rivers Cherokee Office | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003358839 | Highland Rivers Csb | Community/Behavioral Health | 419 N Wall St, Calhoun, GA 30701-1943 | 2016-11-10 |
| 1912060088 | Highland Rivers Csb | Community/Behavioral Health | 320 N River St, Calhoun, GA 30701-1826 | 2006-12-19 |
| 1538222971 | Highland Rivers Csb | Community/Behavioral Health | 323 Roland Rd, Jasper, GA 30143-5336 | 2006-12-18 |
| 1164585550 | Highland Rivers Csb | Community/Behavioral Health | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2006-12-18 |
| 1629131214 | Highland Rivers Csb | Community/Behavioral Health | 6 Mathis Drive, Nw, Suite B, Rome, GA 30165-1242 | 2006-12-18 |
| 1083777650 | Highland Rivers Csb | Community/Behavioral Health | 18090 Highway 515 N, Ellijay, GA 30536-1331 | 2006-12-18 |
| 1417010885 | Highland Rivers Csb | Community/Behavioral Health | 407 N. Thornton Ave, Suite 5, Dalton, GA 30720-3549 | 2006-12-18 |
| 1740343300 | Highland Rivers Csb | Community/Behavioral Health | 650 Joe Frank Harris Pkwy S.e., Cartersville, GA 30120-3962 | 2006-12-18 |
| 1205291085 | Highland Rivers Csb | Community/Behavioral Health | 1401 Applewood Dr, Dalton, GA 30720-2699 | 2015-12-22 |
| 1487019253 | Highland Rivers Csb | Community/Behavioral Health | 1401 Applewood Dr, Dalton, GA 30720-2699 | 2015-12-22 |
| Street Address |
191 LAMAR HALEY DR |
| City | CANTON |
| State | GA |
| Zip Code | 30114-8019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| 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 |
|---|---|---|---|---|
| 1407457864 | Initial Steps Behavioral and Learning Services | Community/Behavioral Health | 50203 Paine St, Canton, MI 48188-3332 | 2020-11-03 |
| 1891393328 | Hws Best Health LLC | Community/Behavioral Health | 3878 Old Hickory Ave Nw, Canton, OH 44718-3871 | 2020-10-16 |
| 1427675834 | Aba Helps | Community/Behavioral Health | 5 Stratford Rd, Canton, MA 02021-4213 | 2020-07-01 |
| 1487149662 | James Lee Hicks Jr. | Community/Behavioral Health | 4826 Cranberry Ave Nw, Canton, OH 44709-1317 | 2018-06-29 |
| 1023501467 | Wendy E Hixenbaugh | Community/Behavioral Health | 400 Tuscarawas St W # Stwe200, Canton, OH 44702-2044 | 2018-06-11 |
| 1811484884 | Lifespan Incorporated | Community/Behavioral Health | 264 Lillie Ln, Canton, NC 28716-7900 | 2018-04-16 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1194276592 | Obtain The Promise LLC | Community/Behavioral Health | 189 Mill Creek Dr, Canton, GA 30115-6037 | 2016-10-20 |
| 1265985568 | Meah Counseling, LLC | Community/Behavioral Health | 5958 Canton Center Rd., Suite 900, Canton, MI 48187 | 2016-08-03 |
| 1245698356 | Meridian Behavioral Health Services | Community/Behavioral Health | 60 Thompson St, Canton, NC 28716-3325 | 2016-02-03 |
| Find all providers in CANTON | ||||
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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.