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Phoenix Specialtycare, LLC

Parenteral & Enteral Nutrition Supplies (DME) in Richland, MS · enumerated 2006 · authorized official Roland Wall, Manager.

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

National Provider Identifier

1053495515

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Registry record

Entity type Organization (Type 2)
Legal business name Phoenix Specialtycare, LLC
Practice address 199 Interstate Dr, Suite D, Richland, MS, 39218
Phone (601) 932-3815
Enumeration date Oct 24, 2006
Last updated in NPPES Oct 18, 2007

Taxonomy & classification

332BP3500X Parenteral & Enteral Nutrition Supplies (DME) Suppliers Primary

Authorized official

Name Roland Wall
Title Manager
Phone (601) 932-3815

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-10-18. Verify at npiregistry.cms.hhs.gov.
Where is Phoenix Specialtycare, LLC located?
The practice location on file with NPPES is in Richland, MS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-18.