OrganizationActive
Mockingbird Assisted Living, LLC
NPI 1538719125 · Assisted Living Facility · Booneville, MS
Provider details
- NPI number
- 1538719125
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ronald Grooms, Administrator(662) 596-3030
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1101 W Chambers Dr
Booneville, MS 38829-6840
Phone: (662) 416-5469
Fax: (662) 596-3052
Street-level locationGet directions
Mailing address
1101 W Chambers Dr
Booneville, MS 38829-6840
Registry dates
- Enumerated
- 2019-09-16
- Last updated
- 2019-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.