ASSISTED LIVING CONCEPTS INC NPI 1205002466

NPI Information

  • NPI: 1205002466
  • Provider Name: ASSISTED LIVING CONCEPTS INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: TARA PLANTATION
  • Address: 440 TRIBBLE GAP ROAD
    CUMMING, GA
    ZIP 30144
  • Phone: (770) 888-1114

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NPI Details

ASSISTED LIVING CONCEPTS INC is an assisted living facility in Cumming, GA. The provider is 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. ASSISTED LIVING CONCEPTS INC NPI is 1205002466. The provider is registered as an organization entity type.
The provider Is Doing Business As Tara Plantation.

The provider's business location address is:

440 TRIBBLE GAP ROAD
CUMMING, GA
ZIP 30144
Phone: (770) 888-1114
Fax: (770) 888-5636

The provider's authorized official is Walter A Levonowich .
The authorized official title is Vice President Controller and has the following contact phone number (262) 257-8888.

The enumeration date for this NPI number is 5/7/2008 and was last updated on 5/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility0580300309GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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