Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Independent Living

Organization Non-emergency Medical Transport (VAN) · NPI 1679432405

Phoenix Independent Living is a Non-emergency Medical Transport (VAN) in Gulfport, Mississippi. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2810 53rd Ave Apt B
Gulfport, MS 39501-5644
Phone: (601) 596-3786
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X

Record details

NPI number1679432405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Holcomb — Admin · (601) 325-8121
NPI enumeratedJanuary 19, 2026
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 17, 2026
Mailing address2810 53rd Ave Apt B, Gulfport, MS 39501-5644

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