MORNINGSIDE OF JACKSON LLC NPI 1114966439

NPI Information

  • NPI: 1114966439
  • Provider Name: MORNINGSIDE OF JACKSON, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: MORNINGSIDE OF JACKSON
  • Address: 1200 N PARKWAY
    JACKSON, TN
    ZIP 38305
  • Phone: (731) 423-1004

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NPI Details

MORNINGSIDE OF JACKSON, LLC is an assisted living facility in Jackson, TN. The provider is 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. MORNINGSIDE OF JACKSON, LLC NPI is 1114966439. The provider is registered as an organization entity type.
The provider Is Doing Business As Morningside Of Jackson.

The provider's business location address is:

1200 N PARKWAY
JACKSON, TN
ZIP 38305-011
Phone: (731) 423-1004
Fax: (731) 423-8342

The provider's authorized official is Bruce J Mackey .
The authorized official title is President & Chief Executive Officer and has the following contact phone number (617) 796-8214.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 6/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityACL0000000002TENNESSEEYes

What is NPI?

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This page was last updated on: 11/21/2025

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