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GREENVILLE ASSISTED LIVING
NPI 1851155394
Custodial Care Facility in Greenville, MS

Active since February 06, 2024
1880 FAIRGROUND ROAD, GREENVILLE, MS 38703(662) 334-4646(662) 334-4691 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Greenville Assisted Living NPPES

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

GREENVILLE ASSISTED LIVING (NPI 1851155394) is a healthcare organization registered as a custodial care facility in Greenville, Mississippi and active in the NPI registry since February 2024. The organization lists James Murry Reagor, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1851155394
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameGREENVILLE ASSISTED LIVING
Location Address1880 FAIRGROUND ROADGreenville, MS 38703
Mailing Address1880 Fairground RoadGreenville, MS 38703 · (662) 334-4646 · Fax (662) 334-4691
Phone(662) 334-4646
Fax(662) 334-4691
Organization SubpartNo
Authorized OfficialJames Murry ReagorSole Owner · (662) 334-4646
Enumeration DateFebruary 6, 2024
✔ NPI 1851155394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
1880 FAIRGROUND ROAD, Greenville, MS 38703
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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 Greenville Assisted Living's NPI number?

The NPI number for Greenville Assisted Living is 1851155394. It was assigned to this organization in the NPPES registry on February 6, 2024.

Where is Greenville Assisted Living located?

Greenville Assisted Living is located at 1880 Fairground Road, Greenville, MS 38703. The listed phone number is (662) 334-4646.

What is Greenville Assisted Living's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

When was this NPI record last updated?

The NPPES record for Greenville Assisted Living was last updated on February 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.