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Cottage Grove Nursing Home, Lp

Skilled Nursing Facility in Jackson, MS · enumerated 2007 · authorized official Juadine Cleveland, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1326197211

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Registry record

Entity type Organization (Type 2)
Legal business name Cottage Grove Nursing Home, Lp
Practice address 1116 Forest Ave, Jackson, MS, 39206
Phone (601) 366-6461
Fax (601) 362-4041
Enumeration date Jan 9, 2007
Last updated in NPPES Mar 26, 2013

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 326 (MS) Primary

Authorized official

Name Juadine Cleveland
Title Administrator
Phone (601) 366-6461

Other identifiers

Identifier Type State Issuer
00023040 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Cottage Grove Nursing Home, Lp?
Cottage Grove Nursing Home, Lp is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-03-26.