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WICKSHIRE CANTON OPCO LLC
NPI 1619516093
Assisted Living Facility in Canton, GA

Active since January 02, 2020
125 RIVERSTONE TERRACE, CANTON, GA 30114(770) 720-9669(678) 880-3689 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wickshire Canton Opco Llc NPPES

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

WICKSHIRE CANTON OPCO LLC (NPI 1619516093) is a healthcare organization registered as an assisted living facility in Canton, Georgia and active in the NPI registry since January 2020. The organization lists Daniel Okeefe, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619516093
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWICKSHIRE CANTON OPCO LLC
Location Address125 RIVERSTONE TERRACECanton, GA 30114
Mailing Address750 Old Hickory Blvd, Building One Suite 125Brentwood, TN 37027 · (615) 942-0240
Phone(770) 720-9669
Fax(678) 880-3689
Organization SubpartNo
Authorized OfficialDaniel OkeefeCeo · (615) 942-0240
Enumeration DateJanuary 2, 2020
✔ NPI 1619516093 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.
125 RIVERSTONE TERRACE, Canton, GA 30114
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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 Wickshire Canton Opco LLC's NPI number?

The NPI number for Wickshire Canton Opco LLC is 1619516093. It was assigned to this organization in the NPPES registry on January 2, 2020.

Where is Wickshire Canton Opco LLC located?

Wickshire Canton Opco LLC is located at 125 Riverstone Terrace, Canton, GA 30114. The listed phone number is (770) 720-9669.

What is Wickshire Canton Opco LLC'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 Wickshire Canton Opco LLC was last updated on January 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.