NISSI LLC
NPI 1841755865
Assisted Living Facility - Assisted Living, Mental Illness in Forest, MS

Q: What is Nissi LLC's NPI number?

The NPI number for Nissi LLC is 1841755865. It was assigned to this organization in the NPPES registry on February 4, 2019. The provider is doing business as Magnolia Manor.

Q: What is Nissi LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nissi LLC was last updated on February 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 04, 2019

410 E FIRST ST, FOREST, MS 39074(601) 469-4389(601) 469-4377 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nissi Llc NPPES

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

NISSI LLC (NPI 1841755865), doing business as Magnolia Manor, is a healthcare organization registered as an assisted living, mental illness in Forest, Mississippi and active in the NPI registry since February 2019. The organization lists Aaron Hines, Nurse Manager, as its authorized official.

NPPES Registry Identity

NPI1841755865

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameNISSI LLC

Location Address410 E FIRST STForest, MS 39074-4204

Mailing Address410 E First StForest, MS 39074-4204 · (601) 469-4389 · Fax (601) 469-4377

Phone(601) 469-4389

Fax(601) 469-4377

Organization SubpartNo

Authorized OfficialAaron HinesNurse Manager · (601) 469-4389

Enumeration DateFebruary 4, 2019

✔ NPI 1841755865 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.

410 E FIRST ST, Forest, MS 39074

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Other Names 1

Doing Business AsMagnolia Manor

Other Providers at the Same Location NPPES

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

COTTONWOOD MANOR II

Assisted Living Facility

410 E FIRST ST
FOREST, MS 39074

Scott County (601) 469-4389

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 Nissi LLC's NPI number?

The NPI number for Nissi LLC is 1841755865. It was assigned to this organization in the NPPES registry on February 4, 2019. The provider is doing business as Magnolia Manor.

Where is Nissi LLC located?

Nissi LLC is located at 410 E First St, Forest, MS 39074. The listed phone number is (601) 469-4389.

What is Nissi LLC'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 Nissi LLC was last updated on February 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.