Healthcare Provider Details

I. General information

NPI: 1225926181
Provider Name (Legal Business Name): J AND J INHOME CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2025
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4831 33RD ST
MERIDIAN MS
39307-4372
US

IV. Provider business mailing address

4831 33RD ST
MERIDIAN MS
39307-4372
US

V. Phone/Fax

Practice location:
  • Phone: 769-344-9809
  • Fax:
Mailing address:
  • Phone: 601-934-6203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: DESTINY RENEE JONES
Title or Position: PARTNER
Credential:
Phone: 601-934-6203