Phoenix Independent Living Inc
NPI 1043179864 · In Home Supportive Care Agency · Gulfport, MS
Phoenix Independent Living Inc is a In Home Supportive Care Agency organization in Gulfport, MS (NPI 1043179864).
Provider details
- NPI number
- 1043179864
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Justin Holcomb, Administration(601) 325-8121
Specialties & taxonomies
Agencies
- Personal Care Attendant3747P1801X
Nursing Service Related Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-01-17
- Last updated
- 2026-01-17
- Certified
- 2026-01-17
Frequently asked questions
- What is Phoenix Independent Living Inc's NPI number?
- Phoenix Independent Living Inc's National Provider Identifier (NPI) is 1043179864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Independent Living Inc?
- Phoenix Independent Living Inc is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Phoenix Independent Living Inc located?
- Phoenix Independent Living Inc's practice location on file with NPPES is 2810 53rd Ave Apt B, Gulfport, MS 39501-5644.
- What is Phoenix Independent Living Inc's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Independent Living Inc is (601) 596-3786.
- Who is the authorized official for Phoenix Independent Living Inc?
- The authorized official listed on Phoenix Independent Living Inc's NPPES record is Justin Holcomb, Administration. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Independent Living Inc's NPI active?
- Yes — Phoenix Independent Living Inc's NPI (1043179864) is active in the NPPES registry as of the last update on 2026-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.