NPIMap

Organization Active NPI

Highland Rivers Center, CSB

  • Community/Behavioral Health Agency
  • Rome, GA
National Provider Identifier
1881758613
Registry record updated Aug 22, 2020
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
1705 Dean Ave SE
Rome, GA 30161-7105
Phone
(706) 802-5870
Fax
(706) 802-0654
NPI assigned
Dec 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Klay WeaverNPI 1720140510
Title
Ceo
Phone
(706) 270-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1705 Dean Ave SE
Rome, GA 30161-7105

Mailing address

1401 Burleyson Dr
Suite 1
Dalton, GA 30720-2522
Phone (706) 270-5002

Other identifiers 1

IdentifierTypeStateIssuer
1447256243OtherGAORGANIZATION MASTER NPI

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

Organizations with this tax ID in the same state 21

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

View all 21

Locations

1705 Dean Ave SE
Rome, GA 30161
Phone (706) 802-5870

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1598054400000",
    "number": "1881758613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 BURLEYSON DR",
            "address_2": "SUITE 1",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202522",
            "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": "1705 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": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "KLAY",
        "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"
        }
    ],
    "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 Aug 22, 2020; 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.