The Canopy at Walden Woods

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE CANOPY AT WALDEN WOODS

Practice address

2051 Walden Woods Dr
Plant City, FL 33563-3610

Phone

(850) 712-5566

NPI assigned

Mar 8, 2024

Organization subpart

No

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

Authorized official

Name

Marisa Strain, RN

Title

Cco

Phone

(850) 712-5566

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1619735214",
    "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",
            "telephone_number": "850-712-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 WALDEN WOODS DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633610",
            "telephone_number": "850-712-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CANOPY AT WALDEN WOODS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "STRAIN",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "850-712-5566",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Plant City, FL
• Providers in Plant City, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.