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

Greenville Assisted Living

Organization Custodial Care Facility · NPI 1851155394

Greenville Assisted Living is a Custodial Care Facility in Greenville, Mississippi. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1880 Fairground Rd
Greenville, MS 38703
Phone: (662) 334-4646
Fax: (662) 334-4691
Show map & directions

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

Specialties & licences

Custodial Care Facility (primary) Taxonomy 311Z00000X

Record details

NPI number1851155394
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Reagor — Sole Owner · (662) 334-4646
NPI enumeratedFebruary 6, 2024
Last updated in NPPESFebruary 6, 2024
Mailing address1880 Fairground Road, Greenville, MS 38703