Phoenix Independent Living
NPI 1679432405 · Non-emergency Medical Transport (VAN) · Gulfport, MS
Phoenix Independent Living is a Non-emergency Medical Transport (VAN) organization in Gulfport, MS (NPI 1679432405).
Provider details
- NPI number
- 1679432405
- Entity type
- Organization
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Organization subpart
- No
- Authorized official
- Justin Holcomb, Admin(601) 325-8121
Specialties & taxonomies
Transportation Services
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
- 2026-01-19
- Last updated
- 2026-01-19
- Certified
- 2026-01-17
Frequently asked questions
- What is Phoenix Independent Living's NPI number?
- Phoenix Independent Living's National Provider Identifier (NPI) is 1679432405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Independent Living?
- Phoenix Independent Living is classified in the NPPES registry as Non-emergency Medical Transport (VAN) (Transportation Services).
- Where is Phoenix Independent Living located?
- Phoenix Independent Living's practice location on file with NPPES is 2810 53rd Ave Apt B, Gulfport, MS 39501-5644.
- What is Phoenix Independent Living's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Independent Living is (601) 596-3786.
- Who is the authorized official for Phoenix Independent Living?
- The authorized official listed on Phoenix Independent Living's NPPES record is Justin Holcomb, Admin. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Independent Living's NPI active?
- Yes — Phoenix Independent Living's NPI (1679432405) is active in the NPPES registry as of the last update on 2026-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.