Active NPI
Vitacare Health & Family Services
- Home Health Agency
- Gloster, MS
National Provider Identifier
1215735295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- VITACARE HEALTH & FAMILY SERVICES
- Practice address
- 3531 Hwy 24
Gloster, MS 39638 - Phone
- (601) 730-0295
- NPI assigned
- Mar 5, 2025
- Last updated
- Mar 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaleesa Jackson
- Title
- Owner
- Phone
- (601) 730-0295
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary | |
| Community Based Hospice Care Agency | 251G00000X | NU | ||
| Assisted Living Facility | 310400000X | NU | ||
| Assisted Living Facility (Mental Illness) | 3104A0625X | NU | ||
| Physical Disabilities Residential Treatment Facility | 320700000X | NU | ||
| Secured Medical Transport (VAN) | 343800000X | NU | ||
| Non-emergency Medical Transport (VAN) | 343900000X | NU | ||
| Respite Care | 385H00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | ||
| Meals Provider | 174200000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
3531 Hwy 24
Gloster, MS 39638
Mailing address
PO Box 751
Centreville, MS 39631-0751
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741132800000",
"number": "1215735295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751",
"city": "CENTREVILLE",
"state": "MS",
"postal_code": "396310751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3531 HWY 24",
"city": "GLOSTER",
"state": "MS",
"postal_code": "39638",
"telephone_number": "601-730-0295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITACARE HEALTH & FAMILY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-05",
"last_updated": "2025-03-05",
"certification_date": "2025-03-03",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "JALEESA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-730-0295"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gloster, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.