Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cottage Grove Nursing Home, LP

Organization Skilled Nursing Facility · NPI 1326197211

Cottage Grove Nursing Home, LP is a Skilled Nursing Facility in Jackson, Mississippi. Medicare rates this nursing home 1 out of 5. Licensed in Mississippi.

CMS rating
1 of 5
Licensed in
MS
In the registry since
2007
What do these letters mean?
LP — Limited partnership
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 255326)
Health inspection1.0 / 5
Staffing2.0 / 5
Quality measures2.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

1116 Forest Ave
Jackson, MS 39206-3216
Phone: (601) 366-6461
Fax: (601) 362-4041
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 326 (MS)

Record details

NPI number1326197211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juadine Cleveland — Administrator · (601) 366-6461
NPI enumeratedJanuary 9, 2007
Last updated in NPPESMarch 26, 2013
Mailing address1116 Forest Ave, Jackson, MS 39206-3216

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