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

Phoenix Specialtycare, LLC

Organization Parenteral & Enteral Nutrition Supplies (DME) · NPI 1053495515

Phoenix Specialtycare, LLC is a Parenteral & Enteral Nutrition Supplies (DME) in Richland, Mississippi. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

199 Interstate Dr Ste D
Richland, MS 39218-4428
Phone: (601) 932-3815
Show map & directions

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

Specialties & licences

Parenteral & Enteral Nutrition Supplies (DME) (primary) Taxonomy 332BP3500X

Record details

NPI number1053495515
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roland Wall — Manager · (601) 932-3815
NPI enumeratedOctober 24, 2006
Last updated in NPPESOctober 18, 2007
Mailing address199 Interstate Dr, Suite D, Richland, MS 39218-4428