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AVA SENIORS ACADEMY LLC
NPI 1720627599
Home Health in Jackson, MS

Active since December 27, 2019
4795 MCWILLIE DR STE 120, JACKSON, MS 39206(769) 524-4191(769) 524-4208 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2023, Dec 27, 2019 (2 updates tracked since 2019).

About Ava Seniors Academy Llc NPPES

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

AVA SENIORS ACADEMY LLC (NPI 1720627599) is a healthcare organization registered as a home health in Jackson, Mississippi and active in the NPI registry since December 2019. The organization maintains a secondary practice location in Greenwood and lists Peggy Clayborne, Director, as its authorized official.

NPPES Registry Identity

NPI1720627599
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameAVA SENIORS ACADEMY LLC
Location Address4795 MCWILLIE DR STE 120Jackson, MS 39206-5628
Mailing Address106 Luckett StGreenwood, MS 38930-3414 · (662) 299-7236 · Fax (662) 455-7234
Phone(769) 524-4191
Fax(769) 524-4208
Organization SubpartNo
Authorized OfficialPeggy ClayborneDirector · (662) 299-7236
Enumeration DateDecember 27, 2019
Last NPPES UpdateMarch 20, 20232 updates tracked since enumeration
NPPES CertifiedMarch 20, 2023
✔ NPI 1720627599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedNursing CareTaxonomy 251J00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
4795 MCWILLIE DR STE 120, Jackson, MS 39206
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Secondary Practice Location 1

Location 1200 E Washington StGreenwood, MS 38930-4434 · Phone (662) 455-7233 · Fax (662) 455-7234

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 Ava Seniors Academy LLC's NPI number?

The NPI number for Ava Seniors Academy LLC is 1720627599. It was assigned to this organization in the NPPES registry on December 27, 2019.

Where is Ava Seniors Academy LLC located?

Ava Seniors Academy LLC is located at 4795 Mcwillie Dr Ste 120, Jackson, MS 39206. The listed phone number is (769) 524-4191.

What is Ava Seniors Academy LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Ava Seniors Academy LLC was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.