GREENVILLE ASSISTED LIVING NPI 1851155394

NPI Information

  • NPI: 1851155394
  • Provider Name: GREENVILLE ASSISTED LIVING
  • Classification: Custodial Care Facility - 311Z00000X
  • Entity Type: Organization
  • Address: 1880 FAIRGROUND ROAD
    GREENVILLE, MS
    ZIP 38703
  • Phone: (662) 334-4646

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NPI Details

GREENVILLE ASSISTED LIVING is a custodial care facility in Greenville, MS. The provider is 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. GREENVILLE ASSISTED LIVING NPI is 1851155394. The provider is registered as an organization entity type.

The provider's business location address is:

1880 FAIRGROUND ROAD
GREENVILLE, MS
ZIP 38703
Phone: (662) 334-4646
Fax: (662) 334-4691

The provider's authorized official is James Murry Reagor .
The authorized official title is Sole Owner and has the following contact phone number (662) 334-4646.

The enumeration date for this NPI number is 2/6/2024 and was last updated on 2/6/2024.

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
1311Z00000XCustodial Care FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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