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PHOENIX HEALTHCARE, LLC
NPI 1730288507
Durable Medical Equipment & Medical Supplies in Richland, MS

Active since September 21, 2006
199 INTERSTATE DR, SUITE U, RICHLAND, MS 39218(601) 932-3397(601) 932-3398 Get Directions Write a Review

NPPES record last updated: September 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Healthcare, Llc NPPES

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

PHOENIX HEALTHCARE, LLC (NPI 1730288507) is a healthcare organization registered as a durable medical equipment & medical supplies in Richland, Mississippi and active in the NPI registry since September 2006. The organization lists Roland B Wall, Owner, as its authorized official.

NPPES Registry Identity

NPI1730288507
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePHOENIX HEALTHCARE, LLC
Location Address199 INTERSTATE DR, SUITE URichland, MS 39218-4428
Mailing Address199 Interstate Dr, Suite URichland, MS 39218-4428 · (601) 932-3397 · Fax (601) 932-3398
Phone(601) 932-3397
Fax(601) 932-3398
Organization SubpartNo
Authorized OfficialRoland B WallOwner · (601) 932-3397
Enumeration DateSeptember 21, 2006
Last NPPES UpdateSeptember 23, 2011
✔ NPI 1730288507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
199 INTERSTATE DR, Richland, MS 39218
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Other Identifiers 2

Medicaid06824216MS
Medicare NSC5240480001MS

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 SPECIALTYCARE, LLC
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
199 INTERSTATE DR, SUITE D
RICHLAND, MS 39218
Rankin County (601) 932-3815

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 Healthcare, LLC's NPI number?

The NPI number for Phoenix Healthcare, LLC is 1730288507. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Phoenix Healthcare, LLC located?

Phoenix Healthcare, LLC is located at 199 Interstate Dr Suite U, Richland, MS 39218. The listed phone number is (601) 932-3397.

What is Phoenix Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Healthcare, LLC was last updated on September 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.