CLEVELAND PERSONAL CARE COMMUNITY
NPI 1023169158
Assisted Living Facility in Cleveland, MS

Active since January 16, 2007
800 THIRD STREET, CLEVELAND, MS 38732(662) 846-6160(662) 846-6164 Get Directions Write a Review

NPPES record last updated: December 26, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cleveland Personal Care Community NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEVELAND PERSONAL CARE COMMUNITY (NPI 1023169158) is a healthcare organization registered as an assisted living facility in Cleveland, Mississippi and active in the NPI registry since January 2007. The organization lists Megan P Young, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1023169158
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCLEVELAND PCH RESIDENTIAL LIVING, LLC
Location Address800 THIRD STREETCleveland, MS 38732
Mailing Address800 Third StreetCleveland, MS 38732 · (662) 846-6160 · Fax (662) 846-6164
Fax(662) 846-6164
Organization SubpartNo
Authorized OfficialMegan P YoungExecutive Director · (662) 846-6160
Enumeration DateJanuary 16, 2007
Last NPPES UpdateDecember 26, 2007
NPI 1023169158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in MS · 978
Definition

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.

800 THIRD STREET, Cleveland, MS 38732

Other Names 1

Doing Business AsCleveland Personal Care Community

Other Identifiers 1

Medicaid08073094MS

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cleveland Pch Residential Living, LLC's NPI number?

The NPI number for Cleveland Pch Residential Living, LLC is 1023169158. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider is doing business as Cleveland Personal Care Community.

Where is Cleveland Pch Residential Living, LLC located?

Cleveland Pch Residential Living, LLC is located at 800 Third Street, Cleveland, MS 38732. The listed phone number is (662) 846-6160.

What is Cleveland Pch Residential Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Cleveland Pch Residential Living, LLC was last updated on December 26, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.