PROVIDENT GROUP - CANTON COVE PROPERTIES 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. PROVIDENT GROUP - CANTON COVE PROPERTIES LLC NPI is 1588157341. The provider is registered as an organization entity type. The provider Is Doing Business As Provident Village At Canton.
The provider's business location address is:
1100 REINHARDT COLLEGE PARKWAY CANTON, GA ZIP 30114 Phone: (770) 721-2812 Fax: (770) 721-5701
The provider's authorized official is Debra W. Lockwood . The authorized official title is President & Chief Financial Officer and has the following contact phone number (225) 766-3977.
The enumeration date for this NPI number is 6/7/2018 and was last updated on 6/7/2018.
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:
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
NPI Synchronization or Removal
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