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

Phoenix Independent Living Inc

Organization In Home Supportive Care Agency · NPI 1043179864

Phoenix Independent Living Inc is an In Home Supportive Care Agency in Gulfport, Mississippi. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

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

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Personal Care Attendant Taxonomy 3747P1801X

Record details

NPI number1043179864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Holcomb — Administration · (601) 325-8121
NPI enumeratedJanuary 17, 2026
Last updated in NPPESJanuary 17, 2026
Certification dateJanuary 17, 2026
Mailing address2810 53rd Ave Apt B, Gulfport, MS 39501-5644

Other providers in Gulfport