Search icon

COTTAGE GROVE NURSING HOME, L.P.

Company claim

Is this your business?

Get access!

Company Details

Name: COTTAGE GROVE NURSING HOME, L.P.
Jurisdiction: MISSISSIPPI
Business Type: Limited Partnership
Status: Good Standing
Effective Date: 15 Aug 1997 (28 years ago)
Business ID: 645888
ZIP code: 39206
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 1116 FOREST AVEJACKSON, MS 39206

General Partner

Name Role Address
Keaton Management, LLC General Partner 1116 Forest Avenue, Jackson, MS 39206

Agent

Name Role Address
Loretta Williams Agent 103 Rollingwood Drive, Jackson, MS 39211

National Provider Identifier

NPI Number:
1326197211

Authorized Person:

Name:
MS. JUADINE B CLEVELAND
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
6013624041

Form 5500 Series

Employer Identification Number (EIN):
721389829
Plan Year:
2018
Number Of Participants:
101
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
75
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
73
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
64
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
75
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Amendment Form Filed 2018-10-25 Amendment For COTTAGE GROVE NURSING HOME, L.P.
Amendment Form Filed 2018-09-28 Amendment For COTTAGE GROVE NURSING HOME, L.P.
Amendment Form Filed 2008-02-01 Amendment
Name Reservation Form Filed 1997-08-15 Name Reservation

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 21 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website