Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
VITACARE HEALTH & FAMILY SERVICES
Active
Organization
VITACARE HEALTH & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JALEESA JACKSON (OWNER)
(601) 730-0295
Entity
Organization
Contact information
Practice address
3531 HWY 24, GLOSTER, MS 39638
(601) 730-0295
Mailing address
PO BOX 751, CENTREVILLE, MS 39631-0751
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up