LISA ANN FORTT
NPI 1194901397
Respite Care in Columbus, MS

Active since January 17, 2008
53 FULGHAM DR, COLUMBUS, MS 39705(662) 904-1066(662) 328-9862 Get Directions Write a Review

NPPES record last updated: January 17, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Ann Fortt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA ANN FORTT (NPI 1194901397) is a healthcare organization registered as a respite care in Columbus, Mississippi and active in the NPI registry since January 2008. The organization lists Lisa Ann Fortt, Owner, as its authorized official.

NPPES Registry Identity

NPI1194901397
Entity TypeOrganization
Primary Taxonomy385H00000X
Legal Business NamePRIVATE HOME AND PERSONAL CARE SERVICE
Location Address53 FULGHAM DRColumbus, MS 39705-2829
Mailing Address53 Fulgham Dr, P.o. Box 8553Columbus, MS 39705-2829 · (662) 904-1066 · Fax (662) 328-9862
Fax(662) 328-9862
Organization SubpartNo
Authorized OfficialLisa Ann ForttOwner · (662) 328-9862
Enumeration DateJanuary 17, 2008
NPI 1194901397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRespite CareRespite Care Facility
Taxonomy Code385H00000X
53 FULGHAM DR, Columbus, MS 39705

Other Names 1

Other NameLisa Ann Fortt

Other Identifiers 2

Medicaid00374024MS
Medicaid03875729MS

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Private Home And Personal Care Service's NPI number?

The NPI number for Private Home And Personal Care Service is 1194901397. It was assigned to this organization in the NPPES registry on January 17, 2008. The provider is also known as Lisa Ann Fortt.

Where is Private Home And Personal Care Service located?

Private Home And Personal Care Service is located at 53 Fulgham Dr, Columbus, MS 39705. The listed phone number is (662) 904-1066.

What is Private Home And Personal Care Service's specialty?

The primary specialty registered for this NPI is Respite Care with taxonomy code 385H00000X.

When was this NPI record last updated?

The NPPES record for Private Home And Personal Care Service was last updated on January 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.