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THE CANOPY OF AZALEA GROVE
NPI 1275391815
Assisted Living Facility in Valdosta, GA

Active since March 08, 2024
6002 N OAK STREET EXT, VALDOSTA, GA 31605(850) 712-5566 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Canopy Of Azalea Grove NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE CANOPY OF AZALEA GROVE (NPI 1275391815) is a healthcare organization registered as an assisted living facility in Valdosta, Georgia and active in the NPI registry since March 2024. The organization lists Marisa Strain, Cco, as its authorized official.

NPPES Registry Identity

NPI1275391815
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTHE CANOPY OF AZALEA GROVE
Location Address6002 N OAK STREET EXTValdosta, GA 31605-1188
Mailing Address2573 Barrington CirTallahassee, FL 32308-6805 · (850) 712-5566
Phone(850) 712-5566
Organization SubpartNo
Authorized OfficialMarisa StrainCco · (850) 712-5566
Enumeration DateMarch 8, 2024
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1275391815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
6002 N OAK STREET EXT, Valdosta, GA 31605
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDRAEL CHANTAL ROBERTS
Occupational Therapist (Physical Rehabilitation)
6002 N OAK STREET EXT
VALDOSTA, GA 31605
Lowndes County (229) 949-2952
SHUNTERIA WILLIAMS
Occupational Therapist
6002 N OAK STREET EXT
VALDOSTA, GA 31605
Lowndes County (210) 210-9906

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Canopy Of Azalea Grove's NPI number?

The NPI number for The Canopy Of Azalea Grove is 1275391815. It was assigned to this organization in the NPPES registry on March 8, 2024.

Where is The Canopy Of Azalea Grove located?

The Canopy Of Azalea Grove is located at 6002 N Oak Street Ext, Valdosta, GA 31605. The listed phone number is (850) 712-5566.

What is The Canopy Of Azalea Grove's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for The Canopy Of Azalea Grove was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.