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BROADWAY MANOR RESIDENTIAL CAREHOME
NPI 1740668755
Assisted Living Facility in Greenville, MS

Active since May 11, 2015
446 N BROADWAY STREET, GREENVILLE, MS 38701(662) 702-5007 Get Directions Write a Review

NPPES record last updated: July 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadway Manor Residential Carehome NPPES

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

BROADWAY MANOR RESIDENTIAL CAREHOME (NPI 1740668755) is a healthcare organization registered as an assisted living facility in Greenville, Mississippi and active in the NPI registry since May 2015. The organization lists Jmelba H Thompson, Director, as its authorized official.

NPPES Registry Identity

NPI1740668755
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBROADWAY MANOR LIMITED LIABILITY
Location Address446 N BROADWAY STREETGreenville, MS 38701-2552
Mailing Address515 N Broadway StGreenville, MS 38701-2552 · (662) 702-5007
Phone(662) 702-5007
Organization SubpartNo
Authorized OfficialJmelba H ThompsonDirector · (662) 702-5007
Enumeration DateMay 11, 2015
Last NPPES UpdateJuly 24, 2015
✔ NPI 1740668755 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 · 1096
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.
446 N BROADWAY STREET, Greenville, MS 38701
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Other Names 1

Other NameBroadway Manor Residential Carehome

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 Broadway Manor Limited Liability's NPI number?

The NPI number for Broadway Manor Limited Liability is 1740668755. It was assigned to this organization in the NPPES registry on May 11, 2015. The provider is also known as Broadway Manor Residential Carehome.

Where is Broadway Manor Limited Liability located?

Broadway Manor Limited Liability is located at 446 N Broadway Street, Greenville, MS 38701. The listed phone number is (662) 702-5007.

What is Broadway Manor Limited Liability'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 Broadway Manor Limited Liability was last updated on July 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.