OrganizationActive
State Veterans Affairs Board
NPI 1982811642 · Skilled Nursing Facility · Jackson, MS
Provider details
- NPI number
- 1982811642
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Demetrice Watts, Cfo(601) 576-4859
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
660 North St
Jackson, MS 39202-3141
Phone: (601) 576-4859
Fax: (601) 576-4868
Street-level locationGet directions
Mailing address
Po Box 3439
Jackson, MS 39207-3439
Other names (DBA / former)
- Other name
- Ms State Veterans Affairs Board
Additional practice locations (1)
- 3466 Highway 80 EPearl, MS 39208-4001Phone: (601) 576-4864Fax: (601) 576-4868
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2022-11-10
- Certified
- 2022-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.