State Veterans Affairs Board
NPI 1982811642ActiveOrganization· Skilled Nursing Facility· Jackson, MS
Skilled Nursing Facility in Jackson, Mississippi, registered in NPPES in May 2007. The authorized official on file is Demetrice Watts, Cfo.
Overview
| NPI | 1982811642 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 16, 2007 |
| Last updated in NPPES | Nov 10, 2022 |
| Certified by provider | Nov 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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