COTTAGE GROVE NURSING HOME, LP
NPI 1326197211
Skilled Nursing Facility in Jackson, MS

Active since January 09, 2007
1116 FOREST AVE, JACKSON, MS 39206(601) 366-6461(601) 362-4041 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cottage Grove Nursing Home, Lp NPPES

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

COTTAGE GROVE NURSING HOME, LP (NPI 1326197211) is a healthcare organization registered as a skilled nursing facility in Jackson, Mississippi and active in the NPI registry since January 2007. The organization lists Juadine B Cleveland, Administrator, as its authorized official.

NPPES Registry Identity

NPI1326197211
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOTTAGE GROVE NURSING HOME, LP
Location Address1116 FOREST AVEJackson, MS 39206-3216
Mailing Address1116 Forest AveJackson, MS 39206-3216 · (601) 366-6461 · Fax (601) 362-4041
Fax(601) 362-4041
Organization SubpartNo
Authorized OfficialJuadine B ClevelandAdministrator · (601) 366-6461
Enumeration DateJanuary 9, 2007
Last NPPES UpdateMarch 26, 2013
NPI 1326197211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MS · 326
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

1116 FOREST AVE, Jackson, MS 39206

Other Identifiers 1

Medicaid00023040MS

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1116 FOREST AVE
JACKSON, MS 39206
Skilled Nursing Facility
1116 FOREST AVE
JACKSON, MS 39206
Internal Medicine
1116 FOREST AVE
JACKSON, MS 39206
Family Medicine
1116 FOREST AVE
JACKSON, MS 39206

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 Cottage Grove Nursing Home, LP's NPI number?

The NPI number for Cottage Grove Nursing Home, LP is 1326197211. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Cottage Grove Nursing Home, LP located?

Cottage Grove Nursing Home, LP is located at 1116 Forest Ave, Jackson, MS 39206. The listed phone number is (601) 366-6461.

What is Cottage Grove Nursing Home, LP's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

What insurance does Cottage Grove Nursing Home, LP accept?

Health plans from UnitedHealthcare list Cottage Grove Nursing Home, LP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cottage Grove Nursing Home, LP was last updated on March 26, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.