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FONDREN COVE ASSITED LIVING
NPI 1811232135
Assisted Living Facility - Assisted Living, Mental Illness in Jackson, MS

Active since November 28, 2012
4520 N STATE ST, JACKSON, MS 39206(601) 981-3945 Get Directions Write a Review

NPPES record last updated: November 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fondren Cove Assited Living NPPES

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

FONDREN COVE ASSITED LIVING (NPI 1811232135) is a healthcare organization registered as an assisted living, mental illness in Jackson, Mississippi and active in the NPI registry since November 2012. The organization lists Cammie E Kitchens, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1811232135
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameFONDREN COVE RELAY, INC.
Location Address4520 N STATE STJackson, MS 39206-5307
Mailing AddressPo Box 55861Jackson, MS 39296-5861 · (601) 981-3945
Phone(601) 981-3945
Organization SubpartNo
Authorized OfficialCammie E KitchensExecutive Director · (601) 981-3945
Enumeration DateNovember 28, 2012
✔ NPI 1811232135 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.
4520 N STATE ST, Jackson, MS 39206
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Other Names 1

Doing Business AsFondren Cove Assited Living

Other Providers at the Same Location NPPES

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

OPTIMUM PERSONAL CARE & SITTERS
Home Health
4520 N STATE ST
JACKSON, MS 39206
Hinds County (601) 259-4602

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 Cove Relay, Inc.'s NPI number?

The NPI number for Fondren Cove Relay, Inc. is 1811232135. It was assigned to this organization in the NPPES registry on November 28, 2012. The provider is doing business as Fondren Cove Assited Living.

Where is Fondren Cove Relay, Inc. located?

Fondren Cove Relay, Inc. is located at 4520 N State St, Jackson, MS 39206. The listed phone number is (601) 981-3945.

What is Fondren Cove Relay, Inc.'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 Fondren Cove Relay, Inc. was last updated on November 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.