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FIT JAM LLC
NPI 1629704861
In Home Supportive Care in Petal, MS

Active since July 29, 2022
509 S MAIN ST STE 20, PETAL, MS 39465(601) 336-4144 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fit Jam Llc NPPES

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

FIT JAM LLC (NPI 1629704861), doing business as Visiting Angels, is a healthcare organization registered as an in home supportive care in Petal, Mississippi and active in the NPI registry since July 2022. The organization lists Anthony Lee Evans, Owner, as its authorized official.

NPPES Registry Identity

NPI1629704861
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameFIT JAM LLC
Location Address509 S MAIN ST STE 20Petal, MS 39465-2203
Mailing Address509 S Main St Ste 20Petal, MS 39465-2203 · (601) 336-4144 · Fax (601) 582-7697
Phone(601) 336-4144
Organization SubpartNo
Authorized OfficialAnthony Lee EvansOwner · (662) 836-6528
Enumeration DateJuly 29, 2022
NPPES CertifiedJuly 29, 2022
✔ NPI 1629704861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Also ListedRespite CareTaxonomy 385H00000X
509 S MAIN ST STE 20, Petal, MS 39465
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Other Names 1

Doing Business AsVisiting Angels

Other Identifiers 1

Medicaid06804375MS

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY LEE EVANS
In Home Supportive Care
509 S MAIN ST STE 20
PETAL, MS 39465
Forrest County (601) 336-4144

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 Fit Jam LLC's NPI number?

The NPI number for Fit Jam LLC is 1629704861. It was assigned to this organization in the NPPES registry on July 29, 2022. The provider is doing business as Visiting Angels.

Where is Fit Jam LLC located?

Fit Jam LLC is located at 509 S Main St Ste 20, Petal, MS 39465. The listed phone number is (601) 336-4144.

What is Fit Jam LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Fit Jam LLC was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.