NORTH GROVE ASSISTED LIVING (NPI# 1902081029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902081029 |
| Entity Type | Organization |
| Organization Name | NORTH GROVE ASSISTED LIVING |
| Practice Address |
641 N Flag Chapel Rd Jackson MS 39209-2204 |
| Practice Telephone | 6019222008 |
| Practice Fax Number | 6019222817 |
| Mailing Telephone | 6019222008 |
| Mailing Fax Number | 6019222817 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |
| Authorized Official Name | MISS AUDREY WILEY (ADMINISTRATOR) |
| Authorized Official Telephone | 6019222008 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 697 | MS | Nursing & Custodial Care Facilities |
| Street Address |
641 N FLAG CHAPEL RD |
| City | JACKSON |
| State | MS |
| Zip Code | 39209-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265923429 | Transit Express LLC | Driver | 641 N Flag Chapel Rd, Jackson, MS 39209-2204 | 2018-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754995 | Oak Street Health Physicians Group of Mississippi, LLC | Family Medicine | 911 Ellis Ave, Jackson, MS 39209 | 2020-06-09 |
| 1760003594 | Phi Health, LLC | Ambulance | 582 Ramp Road, Suite C, Jackson, MS 39209 | 2020-05-04 |
| 1720468911 | Genoa Healthcare, LLC | Pharmacy | 3450 Highway 80 W Rm 68, Jackson, MS 39209 | 2015-06-03 |
| 1013302082 | Tiffany Griffin | Nurse Practitioner | 3450 Highway 80 West, Jackson, MS 39209 | 2015-04-06 |
| 1679961957 | Cassetta Shontae Mcgee | Emergency Medical Technician, Basic | 5326 Queen Eleanor Ln, Jackson, MS 39209 | 2015-01-08 |
| 1124381280 | Martin Solution | In Home Supportive Care | 917 West Ridge, Jackson, MS 39209 | 2012-06-22 |
| 1649533589 | Adrinnie M Martin | Contractor | 917 Westridge, Jackson, MS 39209 | 2012-06-15 |
| 1831423862 | Infinity House, Inc | In Home Supportive Care | 1042 Pecan Park Circle, Jackson, MS 39209 | 2009-09-23 |
| 1174751093 | Linda M Vance | Nurse Practitioner | 1000 Metrocenter Ste 105, Jackson, MS 39209 | 2009-06-30 |
| 1770729998 | Kim Hestle | Speech-Language Pathologist | 733 N. Flag Chapel Road, Jackson, MS 39209 | 2008-12-17 |
| Find all providers in zip 39209 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598377905 | Nohc Jackson Senior Living LLC | Assisted Living Facility | N16744 Eagle Drive, Jackson, WI 53037 | 2020-08-18 |
| 1952924706 | Snh Se Tenant Trs, Inc | Assisted Living Facility | N168w22022 Main St, Jackson, WI 53037-9469 | 2020-05-27 |
| 1386124550 | Victorian Villa Assisted Living LLC | Assisted Living Facility | 5585 Brooklyn Rd South, Jackson, MI 49201-8570 | 2018-08-17 |
| 1215438585 | The Villas of Jackson LLC | Assisted Living Facility | 670 Broadridge, Jackson, MO 63755 | 2018-02-22 |
| 1912455361 | Victorious Healthcare L.L.C. | Assisted Living Facility | 4959 Laurel Oak Dr, Jackson, MS 39212-2150 | 2016-09-14 |
| 1265816433 | Open Arms Personal Care Home | Assisted Living Facility | 539 Claiborne Ave, Jackson, MS 39209-5340 | 2015-07-16 |
| 1629405121 | Ec Jackson Operations, LLC | Assisted Living Facility | 911 Old Humboldt Rd, Jackson, TN 38305-5668 | 2013-09-30 |
| 1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
| 1740522135 | Harmony Court Assisted Living Home Inc | Assisted Living Facility | 5411 I 55 N, Jackson, MS 39206-3616 | 2013-03-23 |
| 1215225149 | House of Faith LLC | Assisted Living Facility | 928 Hunt St, Jackson, MS 39203-2908 | 2011-07-12 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.