Highland Rivers Community Service Board

LBN: Highland Rivers Community Service Board
Highland Rivers Community Service Board is an health care organization with primary practice located at 1 Woodbine Ave Nw , Rome GA 30165-2397. The organization recently has 4 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Suppliers / Customized Equipment. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Highland Rivers Community Service Board can be contacted via phone (706) 314-0019, or through Bearden, Jason via phone (706) 270-5000.

Contact Information

Primary practice address
1 Woodbine Ave Nw Rome GA 30165-2397
Phone: (706) 314-0019
Fax: (706) 314-0343
Website:
Map and Directions
Authorized official contact:
Name: Bearden, Jason
Phone: (706) 270-5000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X Georgia
Agencies / Community/Behavioral Health 251S00000X Georgia
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X Georgia
Suppliers / Customized Equipment 332BC3200X Georgia

Profile Details

NPI number 1538442207
LBN Legal business name Highland Rivers Community Service Board
DBA Doing business as
Authorized official Bearden, Jason
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 20th, 2011
Last updated Apr 3rd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538442207 NPPES
Georgia MEDICAID 000601807AB

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