NC Dept of Military and Veterans Affairs

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NC DEPT OF MILITARY AND VETERANS AFFAIRS

Practice address

1795 Kernersville Medical Pkwy
Kernersville, NC 27284

Phone

(743) 209-3042

NPI assigned

Nov 19, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Brian C Pierce

Title

Chief Deputy Secretary

Phone

(984) 204-8333

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Skilled nursing facility certification: CCN 345579

Legal name

NC DEPT OF MILITARY AND VETERANS AFFAIRS

Doing business as

NC STATE VETERANS HOME - KERNERSVILLE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 22, 2024

Last certification

Aug 22, 2024

Beds

120

Ownership / control type

State

Organization structure

GovernmentNon-profit

Enrollment address

1795 Kernersville Medical Pkwy
Kernersville, NC 27284-7146

Nursing home name

NORTH CAROLINA STATE VETERANS HOME KERNERSVILLE

Affiliated entity

PRUITTHEALTH

Listed as

North Carolina State Veterans Home KernersvilleCCN 345579

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Government - State

Certified

Aug 22, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12058.0 residents per day on average

Chain

Pruitthealth95 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Michael John Piazza, MD

  • Internal Medicine Physician
  • Kernersville, NC
  • NPI 1598729345

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michael John Piazza, MD

  • Internal Medicine Physician
  • Kernersville, NC
  • NPI 1598729345

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1700543162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 MAIL SERVICE CTR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27699",
            "telephone_number": "984-204-2982",
            "fax_number": "984-204-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 KERNERSVILLE MEDICAL PKWY",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "27284",
            "telephone_number": "743-209-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC DEPT OF MILITARY AND VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2025-07-22",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF DEPUTY SECRETARY",
        "authorized_official_telephone_number": "984-204-8333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Raleigh",
            "affiliation": "N",
            "endpointDescription": "Department Headquarters",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1785 Kernersville Medical Parkway",
            "city": "Kernersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cynthia Myrick, MSCCCSLP
• Kristina Nagy, PSYD
• Cayce Caruso Nance, OTR/L
• Nyele Michelle Napoleoni, MSW
• National Vision, Inc.
• NC Doctors of Optometry PLLC
• Ryan Neese
• Janelle Marie Negron Rivera
• New Life Family Services, Inc.
• Newhope Medical Group PA

• Skilled Nursing Facility in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.