The road is considered part of two larger communities, Tignish and Alberton.

The highway runs from Route 14 (North Cape Coastal) in Tignish,[2] to Route 152 (Union Road) in Montrose,[3] passing through the communities of Tignish, St. Felix, Greenmount, and Montrose.

Route 153 (Greenmount Road) spans approximately 6 miles from Tignish to Montrose.

Basic cable service from Eastlink has been available from civic numbers 800–1600 Greenmount Road since 1995.

High speed internet from Aliant Telecom has been available from civic numbers 1200–1600 since 2004.