STATE VETERANS AFFAIRS BOARD
NPI 1962999789
Skilled Nursing Facility in Jackson, MS
About State Veterans Affairs Board NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATE VETERANS AFFAIRS BOARD (NPI 1962999789) is a healthcare organization registered as a skilled nursing facility in Jackson, Mississippi and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists Veleka Grady, Pharmacist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D0919850
State Veterans Affairs Board · Jackson, MSOther Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39209
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is State Veterans Affairs Board's NPI number?
The NPI number for State Veterans Affairs Board is 1962999789. It was assigned to this organization in the NPPES registry on April 17, 2018.
Where is State Veterans Affairs Board located?
State Veterans Affairs Board is located at 4607 Lindbergh Dr, Jackson, MS 39209. The listed phone number is (601) 353-6142.
What is State Veterans Affairs Board's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does State Veterans Affairs Board hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D0919850) is associated with this NPI, valid through September 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for State Veterans Affairs Board was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.