Highland Rivers Community Service Board
Community Based Residential Treatment Facility, Mental Illness
1 Woodbine Ave Nw, Rome
Georgia, 30165-2397
706-314-0019 706-314-0343
Highland Rivers Community Service Board is not a DME supplier for medicare equipment and products.Highland Rivers Community Service Board is a Community Based Residential Treatment Facility, Mental Illness in Rome, Georgia. This organization is also known as sub part of Highland Rivers Community Service Board. It is located at 1 Woodbine Ave Nw, Rome and it's customer support contact number is 706-314-0019. The authorized person of Highland Rivers Community Service Board is Mr. Jason Bearden who is Ceo of this DME and his contact number is 706-270-5000.
Highland Rivers Community Service Board is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
DME Supplier Details:
Highland Rivers Community Service Board type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Highland Rivers Community Service Board |
| Type: | Community Based Residential Treatment Facility, Mental Illness |
| Location: | 1 Woodbine Ave Nw, Rome, Georgia, 30165-2397 |
| Phone: | 706-314-0019 |
| Fax: | 706-314-0343 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Jason Bearden |
| Position: | Ceo |
| Contact Number: | 706-270-5000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1538442207 |
| Parent Organization: | Highland Rivers Community Service Board |
| NPI Enumeration Date: | 20 Sep, 2011 |
| NPI Last Update On: | 03 Apr, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Highland Rivers Community Service Board are as mentioned below.
| Specialization | License Number | State | Status | |
| Community Based Residential Treatment Facility, Mental Illness | | Georgia | Primary | |
| Day Training, Developmentally Disabled Services | | Georgia | Secondary | |
| Community/behavioral Health | | Georgia | Secondary | |
| Customized Equipment | | Georgia | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000601807AB | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1401 Applewood Dr, Suite 1 Dalton, Georgia |
| Zip: | 30720-2699 |
| Phone Number: | 706-270-5002 |
| Fax Number: | 706-270-5111 |
Patients can reach Highland Rivers Community Service Board at
1 Woodbine Ave Nw, Rome, Georgia or can
call on customer care at 706-314-0019.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.