Phoenix Independent Living Inc
NPI 1124825666 · Adult Care Home Facility · Gulfport, MS
Phoenix Independent Living Inc is a Adult Care Home Facility organization in Gulfport, MS (NPI 1124825666).
Provider details
- NPI number
- 1124825666
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Justin Holcomb, President(601) 325-8121
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Medical Laboratory Technician246RM2200X
Technologists, Technicians & Other Technical Service Providers
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2025-03-03
- Last updated
- 2025-03-03
- Certified
- 2025-03-01
Frequently asked questions
- What is Phoenix Independent Living Inc's NPI number?
- Phoenix Independent Living Inc's National Provider Identifier (NPI) is 1124825666, 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 Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Phoenix Independent Living Inc located?
- Phoenix Independent Living Inc's practice location on file with NPPES is 2810 53rd Ave # 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) 325-8121.
- 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, President. 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 (1124825666) is active in the NPPES registry as of the last update on 2025-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.