Morningside of Jackson, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ACL0000000002 Issued in TN

Legal business name

MORNINGSIDE OF JACKSON, LLC

Doing business as

Morningside of Jackson

Practice address

1200 N Parkway
Jackson, TN 38305-5011

Phone

(731) 423-1004

Fax

(731) 423-8342

NPI assigned

Jun 5, 2006

Last updated

Jun 27, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

MORNINGSIDE OF JACKSON, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bruce J Mackey Jr.

Title

President & Chief Executive Officer

Phone

(617) 796-8214

Specialties & licenses 1

Addresses

Other names 1

• Morningside of Jackson Doing business as

Tax ID family

Morningside of Jackson LLC3 organizations share this tax ID, including this one

Part of

Morningside of Jackson LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Morningside of Cleveland, LLC

  dba Morningside of Cleveland

  • Assisted Living Facility
  • Cleveland, TN
  • NPI 1164460556
  NPD tax ID
• Morningside of Cookeville, LLC

  dba Morningside of Cookeville

  • Assisted Living Facility
  • Cookeville, TN
  • NPI 1275571325
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1114966439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582094",
            "telephone_number": "617-796-8387",
            "fax_number": "617-796-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N PARKWAY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055011",
            "telephone_number": "731-423-1004",
            "fax_number": "731-423-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSIDE OF JACKSON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORNINGSIDE OF JACKSON, LLC",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8214",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "ACL0000000002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morningside of Jackson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Ann Moore, MT
• Samantha Nichole Moore
• Spencer Keith Moore, CW
• Sidney Moragne, MD
• Nina Morey, CASE MANAGER
• Brent Jerome Morris, M.D.
• Inyang Morris, APRN, PMHNP-BC
• Janice Marian Morris, LPN
• Lisa Morris, NP
• Lynn Marie Morris

• Assisted Living Facility in Jackson, TN
• Providers in Jackson, TN by specialty
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.