Organization Active NPI

Equal Steps Veterans Home

  • Skilled Nursing Facility
  • Long Beach, MS
National Provider Identifier
1053019265
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EQUAL STEPS VETERANS HOME
Practice address
305 Church Ave
Long Beach, MS 39560-6035
Phone
(228) 265-8576
NPI assigned
Feb 16, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Nekole Predium
Title
Ceo
Phone
(337) 936-7200

National Provider Directory

National Provider Directory

Locations

305 Church Ave
Long Beach, MS 39560
Phone (228) 265-8576

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X
Skilled Nursing Facility 314000000X Primary

Addresses

NPPES NPI Registry

Primary practice location

305 Church Ave
Long Beach, MS 39560-6035

Mailing address

305 Church Ave
Long Beach, MS 39560-6035
Phone (228) 265-8576

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 25, 2024.

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1053019265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CHURCH AVE",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395606035",
            "telephone_number": "228-265-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CHURCH AVE",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395606035",
            "telephone_number": "228-265-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUAL STEPS VETERANS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "PREDIUM",
        "authorized_official_first_name": "NEKOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-936-7200"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.