NPIMap

Organization Active NPI

Highland Rivers Center, CSB

  • Community/Behavioral Health Agency
  • Rome, GA
National Provider Identifier
1285798041
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HIGHLAND RIVERS CENTER, CSB
Practice address
1709 Dean Ave SE
Rome, GA 30161-7105
Phone
(706) 802-5870
Fax
(706) 802-0654
NPI assigned
Dec 19, 2006
Last updated
Jun 23, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
HIGHLAND RIVERS CENTER, CSBAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frank Aaron
Title
Ceo
Phone
(706) 270-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X GA Primary

Addresses

Primary practice location

1709 Dean Ave SE
Rome, GA 30161-7105

Mailing address

1620 Hickory St
Suite 406
Dalton, GA 30720-2312
Phone (706) 270-5002

Other identifiers 2

IdentifierTypeStateIssuer
1447256243OtherGAORGANIZATION MASTER NPI
975392532GMedicaidGA

Other names 1

  • HIGHLAND RIVERS LIGHTHOUSE Other name

National Provider Directory

National Provider Directory
Tax ID family
Highland Rivers Communi123 organizations share this tax ID, including this one
Part of
Highland Rivers Communi

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1709 Dean Ave SE
Rome, GA 30161
Phone (706) 802-5870

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1285798041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 HICKORY ST",
            "address_2": "SUITE 406",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202312",
            "telephone_number": "706-270-5002",
            "fax_number": "706-370-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 DEAN AVE SE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301617105",
            "telephone_number": "706-802-5870",
            "fax_number": "706-802-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND RIVERS CENTER, CSB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGHLAND RIVERS CENTER, CSB",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "AARON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-270-5000"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION MASTER NPI",
            "identifier": "1447256243",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "975392532G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIGHLAND RIVERS LIGHTHOUSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.