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Phoenix Independent Living Inc

Adult Care Home Facility in Gulfport, MS · enumerated 2025 · authorized official Justin Holcomb, President.

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

National Provider Identifier

1124825666

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Registry record

Entity type Organization (Type 2)
Legal business name Phoenix Independent Living Inc
Practice address 2810 53rd Ave # B, Gulfport, MS, 39501
Phone (601) 325-8121
Enumeration date Mar 3, 2025
Last updated in NPPES Mar 3, 2025

Taxonomy & classification

246RM2200X Medical Laboratory Technician Technologists, Technicians & Other Technical Service Providers Secondary
311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities Primary
343900000X Non-emergency Medical Transport (VAN) Transportation Services Secondary

Authorized official

Name Justin Holcomb
Title President
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 1124825666, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Phoenix Independent Living Inc?
NPPES lists Justin Holcomb (President) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-03.