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PHOENIX INDEPENDENT LIVING
NPI 1679432405
Non-emergency Medical Transport (VAN) in Gulfport, MS

Active since January 19, 2026
2810 53RD AVE APT B, GULFPORT, MS 39501(601) 596-3786 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Independent Living NPPES

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

PHOENIX INDEPENDENT LIVING (NPI 1679432405) is a healthcare organization registered as a non-emergency medical transport (van) in Gulfport, Mississippi and active in the NPI registry since January 2026. The organization lists Justin Holcomb, Admin, as its authorized official.

NPPES Registry Identity

NPI1679432405
Entity TypeOrganization
Primary Taxonomy343900000X
Legal Business NamePHOENIX INDEPENDENT LIVING
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 HolcombAdmin · (601) 325-8121
Enumeration DateJanuary 19, 2026
NPPES CertifiedJanuary 17, 2026
✔ NPI 1679432405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services
Taxonomy Code343900000X
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
2810 53RD AVE APT B, Gulfport, MS 39501
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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 INDEPENDENT LIVING INC
In Home Supportive Care
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's NPI number?

The NPI number for Phoenix Independent Living is 1679432405. It was assigned to this organization in the NPPES registry on January 19, 2026.

Where is Phoenix Independent Living located?

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

What is Phoenix Independent Living's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Phoenix Independent Living was last updated on January 19, 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.