CANTON SENIOR LIVING LLC NPI 1497071286

NPI Information

  • NPI: 1497071286
  • Provider Name: CANTON SENIOR LIVING, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: TERRACE AT RIVERSTONE
  • Address: 125 RIVERSTONE TER
    CANTON, GA
    ZIP 30114
  • Phone: (770) 720-9669

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NPI Details

CANTON SENIOR LIVING, LLC is an assisted living facility in Canton, 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. CANTON SENIOR LIVING, LLC NPI is 1497071286. The provider is registered as an organization entity type.
The provider Is Doing Business As Terrace At Riverstone.

The provider's business location address is:

125 RIVERSTONE TER
CANTON, GA
ZIP 30114-218
Phone: (770) 720-9669
Fax: (503) 485-1279

The provider's authorized official is Shirley Dunn .
The authorized official title is Cro Representative and has the following contact phone number (503) 485-4948.

The enumeration date for this NPI number is 4/19/2010 and was last updated on 4/19/2010.

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
1311500000XAlzheimer Center (Dementia Center)No
2310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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