NPIMap

Organization Active NPI

State Veterans Affairs Board

  • Skilled Nursing Facility
  • Biloxi, MS
National Provider Identifier
1689489940
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
STATE VETERANS AFFAIRS BOARD
Practice address
11721 Tradition Parkway
Biloxi, MS 39532
Phone
(601) 942-8571
NPI assigned
Feb 12, 2025
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE VETERANS AFFAIRS BOARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Piccolar Johnson
Title
Administrator
Phone
(601) 942-8571

Specialties & licenses 2

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

Addresses

Primary practice location

11721 Tradition Parkway
Biloxi, MS 39532

Mailing address

11721 Tradition Parkway
Biloxi, MS 39532
Phone (601) 942-8571

National Provider Directory

National Provider Directory
Tax ID family
Ms State Veterans Home Collins4 organizations share this tax ID, including this one
Part of
Ms State Veterans Home Collins

Other organizations with this tax ID 3

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

Locations

11721 Tradition Pkwy
Biloxi, MS 39532
Phone (601) 942-8571

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1689489940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11721 TRADITION PARKWAY",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "39532",
            "telephone_number": "601-942-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11721 TRADITION PARKWAY",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "39532",
            "telephone_number": "601-942-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE VETERANS AFFAIRS BOARD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE VETERANS AFFAIRS BOARD",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PICCOLAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-942-8571"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.