JLA SENIOR FOOTCARE MS LLC
NPI 1508161597
Podiatrist - Foot Surgery in Petal, MS

Q: What is Jla Senior Footcare Ms LLC's NPI number?

The NPI number for Jla Senior Footcare Ms LLC is 1508161597. It was assigned to this organization in the NPPES registry on January 21, 2011.

Q: What is Jla Senior Footcare Ms LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Active since January 21, 2011

300 ARK LN, PETAL, MS 39465(330) 702-0978 Get Directions Write a Review

NPPES record last updated: January 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jla Senior Footcare Ms Llc NPPES

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

JLA SENIOR FOOTCARE MS LLC (NPI 1508161597) is a healthcare organization registered as a foot surgery in Petal, Mississippi and active in the NPI registry since January 2011. The organization lists Anthony Innocenzi, Owner, as its authorized official.

NPPES Registry Identity

NPI1508161597

Entity TypeOrganization

Primary Taxonomy213ES0131X

Legal Business NameJLA SENIOR FOOTCARE MS LLC

Location Address300 ARK LNPetal, MS 39465-3606

Mailing Address4870 S Aspen CtCanfield, OH 44406-8469

Phone(330) 702-0978

Organization SubpartNo

Authorized OfficialAnthony InnocenziOwner · (330) 702-0978

Enumeration DateJanuary 21, 2011

✔ NPI 1508161597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0131X

License✔ Licensed in MS · 80205

300 ARK LN, Petal, MS 39465

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jla Senior Footcare Ms LLC's NPI number?

The NPI number for Jla Senior Footcare Ms LLC is 1508161597. It was assigned to this organization in the NPPES registry on January 21, 2011.

Where is Jla Senior Footcare Ms LLC located?

Jla Senior Footcare Ms LLC is located at 300 Ark Ln, Petal, MS 39465. The listed phone number is (330) 702-0978.

What is Jla Senior Footcare Ms LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Jla Senior Footcare Ms LLC was last updated on January 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.