OrganizationActive
Wickshire Canton Opco LLC
NPI 1619516093 · Assisted Living Facility · Canton, GA
Wickshire Canton Opco LLC is a Assisted Living Facility organization in Canton, GA (NPI 1619516093).
Provider details
- NPI number
- 1619516093
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Okeefe, Ceo(615) 942-0240
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
125 Riverstone Terrace
Canton, GA 30114
Phone: (770) 720-9669
Fax: (678) 880-3689
Street-level locationGet directions
Mailing address
750 Old Hickory Blvd
Brentwood, TN 37027
Registry dates
- Enumerated
- 2020-01-02
- Last updated
- 2020-01-02
- Certified
- 2020-01-02
Frequently asked questions
- What is Wickshire Canton Opco LLC's NPI number?
- Wickshire Canton Opco LLC's National Provider Identifier (NPI) is 1619516093, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wickshire Canton Opco LLC?
- Wickshire Canton Opco LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Wickshire Canton Opco LLC located?
- Wickshire Canton Opco LLC's practice location on file with NPPES is 125 Riverstone Terrace, Canton, GA 30114.
- What is Wickshire Canton Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for Wickshire Canton Opco LLC is (770) 720-9669.
- Who is the authorized official for Wickshire Canton Opco LLC?
- The authorized official listed on Wickshire Canton Opco LLC's NPPES record is Daniel Okeefe, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wickshire Canton Opco LLC's NPI active?
- Yes — Wickshire Canton Opco LLC's NPI (1619516093) is active in the NPPES registry as of the last update on 2020-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.