WATERFORD GARDENS
NPI 1700079829
Assisted Living Facility in Dunwoody, GA

Active since August 22, 2007
4484 N SHALLOWFORD RD, DUNWOODY, GA 30338(770) 350-2393 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Waterford Gardens NPPES

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

WATERFORD GARDENS (NPI 1700079829) is a healthcare organization registered as an assisted living facility in Dunwoody, Georgia and active in the NPI registry since August 2007. The organization lists John Holtz, Controller, as its authorized official.

NPPES Registry Identity

NPI1700079829
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWILKINSON GEORGIA IDAHO SENIOR HOUSING LLC
Location Address4484 N SHALLOWFORD RDDunwoody, GA 30338-6402
Mailing Address78 Centennial LoopEugene, OR 97401-7900 · (541) 747-3373 · Fax (541) 747-0673
Organization SubpartNo
Authorized OfficialJohn HoltzController · (541) 747-3373
Enumeration DateAugust 22, 2007
Last NPPES UpdateJune 19, 2008
NPI 1700079829 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.

4484 N SHALLOWFORD RD, Dunwoody, GA 30338

Other Names 1

Other NameWaterford Gardens

Other Providers at the Same Location NPPES

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

Occupational Therapist
4484 N SHALLOWFORD RD
DUNWOODY, GA 30338

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 Wilkinson Georgia Idaho Senior Housing LLC's NPI number?

The NPI number for Wilkinson Georgia Idaho Senior Housing LLC is 1700079829. It was assigned to this organization in the NPPES registry on August 22, 2007. The provider is also known as Waterford Gardens.

Where is Wilkinson Georgia Idaho Senior Housing LLC located?

Wilkinson Georgia Idaho Senior Housing LLC is located at 4484 N Shallowford Rd, Dunwoody, GA 30338. The listed phone number is (770) 350-2393.

What is Wilkinson Georgia Idaho Senior Housing 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 Wilkinson Georgia Idaho Senior Housing LLC was last updated on June 19, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.