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PHOENIX INDEPENDENT LIVING INC
NPI 1043179864
In Home Supportive Care in Gulfport, MS

Active since January 17, 2026
2810 53RD AVE APT B, GULFPORT, MS 39501(601) 596-3786 Get Directions Write a Review

NPPES record last updated: January 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Independent Living Inc NPPES

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

PHOENIX INDEPENDENT LIVING INC (NPI 1043179864) is a healthcare organization registered as an in home supportive care in Gulfport, Mississippi and active in the NPI registry since January 2026. The organization lists Justin Holcomb, Administration, as its authorized official.

NPPES Registry Identity

NPI1043179864
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NamePHOENIX INDEPENDENT LIVING INC
Location Address2810 53RD AVE APT BGulfport, MS 39501-5644
Mailing Address2810 53rd Ave Apt BGulfport, MS 39501-5644 · (601) 596-3786
Phone(601) 596-3786
Organization SubpartNo
Authorized OfficialJustin HolcombAdministration · (601) 325-8121
Enumeration DateJanuary 17, 2026
NPPES CertifiedJanuary 17, 2026
✔ NPI 1043179864 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 ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
2810 53RD AVE APT B, Gulfport, MS 39501
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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

Other Providers at the Same Location NPPES

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

PHOENIX INDEPENDENT LIVING
Non-emergency Medical Transport (VAN)
2810 53RD AVE APT B
GULFPORT, MS 39501
Harrison County (601) 596-3786

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 Phoenix Independent Living Inc's NPI number?

The NPI number for Phoenix Independent Living Inc is 1043179864. It was assigned to this organization in the NPPES registry on January 17, 2026.

Where is Phoenix Independent Living Inc located?

Phoenix Independent Living Inc is located at 2810 53rd Ave Apt B, Gulfport, MS 39501. The listed phone number is (601) 596-3786.

What is Phoenix Independent Living Inc'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 Phoenix Independent Living Inc was last updated on January 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.