Phoenix Specialtycare, LLC
NPI 1053495515 · Parenteral & Enteral Nutrition Supplies (DME) · Richland, MS
Phoenix Specialtycare, LLC is a Parenteral & Enteral Nutrition Supplies (DME) organization in Richland, MS (NPI 1053495515).
Provider details
- NPI number
- 1053495515
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Roland Wall, Manager(601) 932-3815
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES 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
- 2006-10-24
- Last updated
- 2007-10-18
Frequently asked questions
- What is Phoenix Specialtycare, LLC's NPI number?
- Phoenix Specialtycare, LLC's National Provider Identifier (NPI) is 1053495515, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Specialtycare, LLC?
- Phoenix Specialtycare, LLC is classified in the NPPES registry as Parenteral & Enteral Nutrition Supplies (DME) (Suppliers).
- Where is Phoenix Specialtycare, LLC located?
- Phoenix Specialtycare, LLC's practice location on file with NPPES is 199 Interstate Dr, Richland, MS 39218-4428.
- What is Phoenix Specialtycare, LLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Specialtycare, LLC is (601) 932-3815.
- Who is the authorized official for Phoenix Specialtycare, LLC?
- The authorized official listed on Phoenix Specialtycare, LLC's NPPES record is Roland Wall, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Specialtycare, LLC's NPI active?
- Yes — Phoenix Specialtycare, LLC's NPI (1053495515) is active in the NPPES registry as of the last update on 2007-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.