MR. ALFRED CONWAY PORTER MBA
NPI 1740756758
Assisted Living Facility - Assisted Living, Mental Illness in Jackson, MS

Active since October 17, 2018
3201 HOLLYWOOD AVE, JACKSON, MS 39213(601) 665-3402 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Alfred Conway Porter Mba NPPES

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

MR. ALFRED CONWAY PORTER MBA (NPI 1740756758) is an individual assisted living, mental illness provider in Jackson, Mississippi and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1740756758
Entity TypeIndividualMale
Primary Taxonomy3104A0625X
Provider Legal NameMR. ALFRED CONWAY PORTERCredential: MBA
Location Address3201 HOLLYWOOD AVEJackson, MS 39213-6754
Mailing Address4358 California AveJackson, MS 39213-4707
Sole ProprietorYes
Enumeration DateOctober 17, 2018
NPI 1740756758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

3201 HOLLYWOOD AVE, Jackson, MS 39213

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 Alfred Porter's NPI number?

The NPI number for Alfred Porter is 1740756758. It was assigned to this individual provider in the NPPES registry on October 17, 2018.

Where is Alfred Porter located?

Alfred Porter practices at 3201 Hollywood Ave, Jackson, MS 39213. The listed phone number is (601) 665-3402.

What is Alfred Porter's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Alfred Porter was last updated on October 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.