PHOENIX INDEPENDENT LIVING INC
NPI 1124825666
Custodial Care Facility - Adult Care Home in Gulfport, MS
NPI Status: Active since March 03, 2025
Contact Information
2810 53RD AVE # B
GULFPORT, MS
ZIP 39501
Phone: (601) 325-8121
- Organization
- Custodial Care Facility
- Adult Care Home
About PHOENIX INDEPENDENT LIVING INC
This page provides the complete NPI Profile along with additional information for Phoenix Independent Living Inc, a provider established in Gulfport, Mississippi operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1124825666 assigned on March 2025. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Justin Holcomb (President)
- NPI
- 1124825666
- Provider Name
- PHOENIX INDEPENDENT LIVING INC
- Entity Type
- Organization
- Location Address
- 2810 53RD AVE # B GULFPORT, MS 39501
- Location Phone
- (601) 325-8121
- Mailing Address
- 2810 53RD AVE # B GULFPORT, MS 39501
- Mailing Phone
- (601) 325-8121
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-03-2025
- Last Update Date
- 03-03-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Custodial Care Facility Adult Care Home
- Taxonomy Code
- 311ZA0620X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 246RM2200X | Technologists, Technicians & Other Technical Service Providers | Technician, Pathology | |
| 2 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124825666, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124825666, enumerated as an "organization" on March 03, 2025.
The provider is located at 2810 53RD AVE # B GULFPORT, MS 39501 and the phone number is (601) 325-8121.
Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.
