Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stone Mountain

Organization Assisted Living Facility · NPI 1558589168

Stone Mountain is an Assisted Living Facility in Stone Mountain, Georgia. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1745 Parke Plaza Cir
Stone Mountain, GA 30087-3498
Phone: (770) 469-8800
Fax: (503) 485-1279
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1558589168
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Harder — Ceo President · (503) 485-8697
NPI enumeratedApril 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 3006, Salem, OR 97302-0006

Other providers in Stone Mountain