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Phoenix Independent Living Inc

In Home Supportive Care Agency in Gulfport, MS · enumerated 2026 · authorized official Justin Holcomb, Administration.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043179864

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Registry record

Entity type Organization (Type 2)
Legal business name Phoenix Independent Living Inc
Practice address 2810 53rd Ave Apt B, Gulfport, MS, 39501
Phone (601) 596-3786
Enumeration date Jan 17, 2026
Last updated in NPPES Jan 17, 2026

Taxonomy & classification

253Z00000X In Home Supportive Care Agency Agencies Primary
3747P1801X Personal Care Attendant Nursing Service Related Providers Secondary

Authorized official

Name Justin Holcomb
Title Administration
Phone (601) 325-8121

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Phoenix Independent Living Inc?
The NPI for Phoenix Independent Living Inc is 1043179864, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Phoenix Independent Living Inc?
NPPES lists Justin Holcomb (Administration) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-17.