HIGHLAND RIVERS CSB (NPI# 1912060088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912060088 |
| Entity Type | Organization |
| Organization Name | HIGHLAND RIVERS CSB |
| Other Organization Name | HIGHLAND RIVERS GORDON OFFICE |
| Practice Address |
320 N River St Calhoun GA 30701-1826 |
| Mailing Address |
1401 Applewood Drive Suite 1 Dalton GA 30720-2699 |
| Practice Telephone | 7066258369 |
| Practice Fax Number | 7066258427 |
| Mailing Telephone | 7062705002 |
| Mailing Fax Number | 7063707749 |
| Enumeration Date | 2006-12-19 |
| 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 | 000759448R | 05 | |
| GA | ORGANIZATION MASTER NPI | 1447256243 | 01 |
| Other Name | Type Code |
|---|---|
| Highland Rivers Gordon 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 |
| 1538222971 | Highland Rivers Csb | Community/Behavioral Health | 323 Roland Rd, Jasper, GA 30143-5336 | 2006-12-18 |
| 1043373467 | Highland Rivers Csb | Community/Behavioral Health | 191 Lamar Haley Dr, Canton, GA 30114-8019 | 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 |
320 N RIVER ST |
| City | CALHOUN |
| State | GA |
| Zip Code | 30701-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856853 | Mahaly H Ashley | Counselor | 367 Richardson Rd, Calhoun, GA 30701 | 2020-09-21 |
| 1639714140 | Alexis Mann | Counselor | 629 Harkins Street, Calhoun, GA 30701 | 2019-11-08 |
| 1649812322 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 225 Lovers Lane, Calhoun, GA 30701 | 2019-10-14 |
| 1225679186 | Alexandra Halleck | Physical Therapy Assistant | 1387 Hwy 41 N, Calhoun, GA 30701 | 2019-10-02 |
| 1508325432 | Angela Munyan Chin | Nurse Practitioner | 1754 Everett Springs Rd Ne, Calhoun, GA 30701 | 2019-03-19 |
| 1548745342 | Gacalhoun Snf LLC | Skilled Nursing Facility | 1387 Highway 41 N., Calhoun, GA 30701 | 2018-09-27 |
| 1568990018 | Katherine Ann Hayes | Physical Therapy Assistant | Blue Ridge Nursing Home Calhoun, 1387 Us 41 N, Calhoun, GA 30701 | 2017-05-30 |
| 1639566508 | Moslem Eskandari | Pharmacist | 1101 Red Bud Rd, Calhoun, GA 30701 | 2015-04-18 |
| 1366882367 | Stella P. Bonner | Dentist | 500 South Wall St., Calhoun, GA 30701 | 2013-07-05 |
| 1417393885 | New Serenity Inc | Clinic/Center | 1321 Hwy 41 N, Calhoun, GA 30701 | 2013-05-13 |
| Find all providers in zip 30701 | ||||
| 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 |
|---|---|---|---|---|
| 1003358839 | Highland Rivers Csb | Community/Behavioral Health | 419 N Wall St, Calhoun, GA 30701-1943 | 2016-11-10 |
| 1285808857 | Lookout Mountain Community Services | Community/Behavioral Health | 450 Newtown Creek Loop Ne, Calhoun, GA 30701-9321 | 2008-04-15 |
| 1336338714 | Georgia Mental Health and Addictions LLC | Community/Behavioral Health | 320 N River St Nw, Calhoun, GA 30701-9408 | 2007-10-22 |
| 1932626892 | Crossroads Treatment Center of Calhoun, PC | Community/Behavioral Health | 367 Richardson Rd Se, Calhoun, GA 30701-3619 | 2017-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376160 | Love, Breanna Olivia Zion Enterprise,llc(lboz): | Community/Behavioral Health | 9802 N Ivy Park Dr, Fortson, GA 31808-7130 | 2020-11-02 |
| 1578170882 | Helping Hearts Behavioral Health Services, LLC | Community/Behavioral Health | 504 Hamlet Dr, Hampton, GA 30228-4829 | 2020-09-30 |
| 1982219523 | Future Seekers, Inc. | Community/Behavioral Health | 3475 N. Desert Drive, Building 1, Suite 2100, East Point, GA 30344-3034 | 2020-09-10 |
| 1396359840 | Just Like Family Caregivers | Community/Behavioral Health | 2628 Lovejoy Crossing St, Hampton, GA 30228-5995 | 2020-09-02 |
| 1285247270 | Hudu Yoga & Therapy | Community/Behavioral Health | 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 | 2020-08-28 |
| 1952914632 | Brighter Dayz, Incorporated | Community/Behavioral Health | 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 | 2020-08-24 |
| 1699387688 | Rise Rehabilitation Services, LLC | Community/Behavioral Health | 738 Highland Park Trl, Atlanta, GA 30350-6706 | 2020-08-20 |
| 1104438373 | Pivotal Counseling LLC | Community/Behavioral Health | 75 N Broad St, Winder, GA 30680-1907 | 2020-08-19 |
| 1295347888 | Freemans Early Intervention Services | Community/Behavioral Health | 13 Peach St, Butler, GA 31006 | 2020-08-17 |
| 1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
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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.