OrganizationActive
Private Home and Personal Care Service
NPI 1194901397 · Respite Care · Columbus, MS
Provider details
- NPI number
- 1194901397
- Entity type
- Organization
- Primary specialty
- Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Lisa Fortt, Owner(662) 328-9862
Specialties & taxonomies
Respite Care Facility
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
53 Fulgham Dr
Columbus, MS 39705-2829
Phone: (662) 904-1066
Fax: (662) 328-9862
Street-level locationGet directions
Mailing address
53 Fulgham Dr
Columbus, MS 39705-2829
Other names (DBA / former)
- Other name
- Lisa Ann Fortt
Registry dates
- Enumerated
- 2008-01-17
- Last updated
- 2008-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.