NPIMap

Organization Active NPI

Ms State Veterans Home Collins

  • Skilled Nursing Facility
  • Collins, MS
National Provider Identifier
1235611765
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MS STATE VETERANS HOME COLLINS
Practice address
3261 Highway 49
Collins, MS 39428-3876
Phone
(601) 765-0403
Fax
(601) 765-5045
NPI assigned
Aug 31, 2018
Organization subpart
Yes
Parent organization
STATE VETERANS AFFAIRS BOARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristen Phipps
Title
Pharmacist
Phone
(601) 765-0403

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary
Institutional Pharmacy 3336I0012X

Addresses

Primary practice location

3261 Highway 49
Collins, MS 39428-3876

Mailing address

3261 Highway 49
Collins, MS 39428-3876
Phone (601) 765-0519

National Provider Directory

National Provider Directory
Tax ID family
State Veterans Affairs4 organizations share this tax ID, including this one
Part of
State Veterans Affairs

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1235611765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3261 HIGHWAY 49",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394283876",
            "telephone_number": "601-765-0519",
            "fax_number": "601-765-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 HIGHWAY 49",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394283876",
            "telephone_number": "601-765-0403",
            "fax_number": "601-765-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS STATE VETERANS HOME COLLINS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE VETERANS AFFAIRS BOARD",
        "enumeration_date": "2018-08-31",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "601-765-0403"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collins, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.