Phoenix Independent Living Inc
NPI 1043179864ActiveOrganization· In Home Supportive Care· Gulfport, MS
In Home Supportive Care in Gulfport, Mississippi, registered in NPPES in January 2026. The authorized official on file is Justin Holcomb, HOLCOMB, Administration.
Overview
| NPI | 1043179864 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 17, 2026 |
| Last updated in NPPES | Jan 17, 2026 |
| Certified by provider | Jan 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| In Home Supportive Care Primary | 253Z00000X | — | — |
| Technician, Personal Care Attendant | 3747P1801X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 25 In Home Supportive Care providers in Gulfport · All In Home Supportive Care providers in Mississippi