IndividualActive
Amarion Fortenberry
NPI 1679461156 · In Home Supportive Care Agency · Columbia, MS
Provider details
- NPI number
- 1679461156
- Entity type
- Individual
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
- Clinical Medical Laboratory291U00000X
Laboratories
- Home Health Aide374U00000X
Nursing Service Related Providers
- Homemaker376J00000X
Nursing Service Related Providers
- Respite Care385H00000X
Respite Care Facility
- Nurse's Aide376K00000X
Nursing Service Related Providers
Respite Care Facility
Practice location
309 Lafayette St
Columbia, MS 39429-2059
Phone: (601) 731-8446
Fax: (769) 213-2422
Approximate (ZIP-level) locationGet directions
Mailing address
309 Lafayette St
Columbia, MS 39429-2059
Registry dates
- Enumerated
- 2025-06-25
- Last updated
- 2025-06-25
- Certified
- 2025-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.