North Grove Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

697 Issued in MS

Legal business name

NORTH GROVE ASSISTED LIVING

Practice address

641 N Flag Chapel Rd
Jackson, MS 39209-2204

Phone

(601) 922-2008

Fax

(601) 922-2817

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Miss Audrey Wiley

Title

Administrator

Phone

(601) 922-2008

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1902081029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 N FLAG CHAPEL RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392092204",
            "telephone_number": "601-922-2008",
            "fax_number": "601-922-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 N FLAG CHAPEL RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392092204",
            "telephone_number": "601-922-2008",
            "fax_number": "601-922-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GROVE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-922-2008",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MS",
            "license": "697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grayson S Norquist, M.D.
• Aubrey Claire Norris
• David Ronald Norris, M.D.
• John A Norris, CRNA
• Timothy A Norris, GC-C
• North Jackson Medical Clinic PLLC
• North Lion Hospice & Palliative Care, LLC
• North Street Healthcare LLC
• Durham North, M.D.
• Kelsey A North, PA-C

• Assisted Living Facility in Jackson, MS
• Providers in Jackson, MS by specialty
• Assisted Living Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.