Canopy WR Operations, LLC.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CANOPY WR OPERATIONS, LLC.

Practice address

120 Latham Dr
Warner Robins, GA 31088-2146

Phone

(478) 313-5533

NPI assigned

Jun 10, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Seth Walker

Title

Cfo

Phone

(850) 583-7990

Specialties & licenses 1

Addresses

Other names 1

• The Canopy at Warner Robins Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1184466211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2573 BARRINGTON CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LATHAM DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882146",
            "telephone_number": "478-313-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANOPY WR OPERATIONS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-583-7990"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Canopy at Warner Robins",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Camacho Richburg
• Becky L. Campbell, MD
• Cora Mae Campbell
• Madeline Campos
• Leporsche Marquita Cannon
• Jonathan Canterbury
• Anastasia Andris Cantrell
• Michael G Cantrell, MPT
• Elaine Bowen Caraway, NP
• Jaylan Card

• Assisted Living Facility in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.