Active NPI
Equal Steps Veterans Home
- Skilled Nursing Facility
- Long Beach, MS
National Provider Identifier
1053019265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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 DirectoryLocations
305 Church Ave
Long Beach, MS 39560
Phone (228) 265-8576
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | |||
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.