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PHOENIX SPECIALTYCARE, LLC
NPI 1053495515
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition in Richland, MS

Active since October 24, 2006
199 INTERSTATE DR, SUITE D, RICHLAND, MS 39218(601) 932-3815 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Specialtycare, Llc NPPES

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

PHOENIX SPECIALTYCARE, LLC (NPI 1053495515) is a healthcare organization registered as a parenteral & enteral nutrition in Richland, Mississippi and active in the NPI registry since October 2006. The organization lists Roland B Wall, Manager, as its authorized official.

NPPES Registry Identity

NPI1053495515
Entity TypeOrganization
Primary Taxonomy332BP3500X
Legal Business NamePHOENIX SPECIALTYCARE, LLC
Location Address199 INTERSTATE DR, SUITE DRichland, MS 39218-4428
Mailing Address199 Interstate Dr, Suite DRichland, MS 39218-4428 · (601) 932-3815
Phone(601) 932-3815
Organization SubpartNo
Authorized OfficialRoland B WallManager · (601) 932-3815
Enumeration DateOctober 24, 2006
Last NPPES UpdateOctober 18, 2007
✔ NPI 1053495515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionSuppliers
Taxonomy Code332BP3500X
199 INTERSTATE DR, Richland, MS 39218
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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 HEALTHCARE, LLC
Durable Medical Equipment & Medical Supplies
199 INTERSTATE DR, SUITE U
RICHLAND, MS 39218
Rankin County (601) 932-3397

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 Specialtycare, LLC's NPI number?

The NPI number for Phoenix Specialtycare, LLC is 1053495515. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Phoenix Specialtycare, LLC located?

Phoenix Specialtycare, LLC is located at 199 Interstate Dr Suite D, Richland, MS 39218. The listed phone number is (601) 932-3815.

What is Phoenix Specialtycare, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Parenteral & Enteral Nutrition, with taxonomy code 332BP3500X.

When was this NPI record last updated?

The NPPES record for Phoenix Specialtycare, LLC was last updated on October 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.