FONDREN NIGHTINGALES SENIOR DAY RETREAT CO
NPI 1629550363
Clinic/Center - Adult Day Care in Jackson, MS

Q: What is Fondren Nightingales Senior Day Retreat Co's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Active since August 29, 2018

3321 N WEST ST, JACKSON, MS 39216(601) 398-4485(601) 398-1492 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2021, Aug 29, 2018 (2 updates tracked since 2018).

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About Fondren Nightingales Senior Day Retreat Co NPPES

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

FONDREN NIGHTINGALES SENIOR DAY RETREAT CO (NPI 1629550363) is a healthcare organization registered as an adult day care in Jackson, Mississippi and active in the NPI registry since August 2018. The organization lists Gregg Levy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629550363

Entity TypeOrganization

Primary Taxonomy261QA0600X

Legal Business NameFONDREN NIGHTINGALES SENIOR DAY RETREAT CO

Location Address3321 N WEST STJackson, MS 39216-3039

Mailing Address3321 N West StJackson, MS 39216-3039 · (601) 398-4485 · Fax (601) 398-1492

Phone(601) 398-4485

Fax(601) 398-1492

Organization SubpartNo

Authorized OfficialGregg LevyCeo · (601) 398-4485

Enumeration DateAugust 29, 2018

Last NPPES UpdateAugust 31, 20212 updates tracked since enumeration

NPPES CertifiedAugust 31, 2021

✔ NPI 1629550363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities

Taxonomy Code261QA0600X

Also ListedPhysical TherapistTaxonomy 225100000X

3321 N WEST ST, Jackson, MS 39216

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Other Identifiers 1

Medicaid1053622134MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

FONDREN NIGHTINGALES PHYSICAL THERAPY LLC

Physical Therapist

3321 N WEST ST
JACKSON, MS 39216

Hinds County (601) 398-1492

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 Fondren Nightingales Senior Day Retreat Co's NPI number?

The NPI number for Fondren Nightingales Senior Day Retreat Co is 1629550363. It was assigned to this organization in the NPPES registry on August 29, 2018.

Where is Fondren Nightingales Senior Day Retreat Co located?

Fondren Nightingales Senior Day Retreat Co is located at 3321 N West St, Jackson, MS 39216. The listed phone number is (601) 398-4485.

What is Fondren Nightingales Senior Day Retreat Co's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Fondren Nightingales Senior Day Retreat Co was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.