Florida Department of Veterans Affairs
NPI 1629060272 · Alzheimer Center (Dementia Center) · Port Charlotte, FL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Florida Department of Veterans Affairs is a Alzheimer Center (Dementia Center) organization in Port Charlotte, FL (NPI 1629060272).
Provider details
- NPI number
- 1629060272
- Entity type
- Organization
- Primary specialty
- Alzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- William Puckett, Program Director(727) 518-3202
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Skilled Nursing Facility314000000X
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Douglas Jacobson State Veterans Nursing Home
Registry dates
- Enumerated
- 2005-08-19
- Last updated
- 2025-09-11
Frequently asked questions
- What is Florida Department of Veterans Affairs's NPI number?
- Florida Department of Veterans Affairs's National Provider Identifier (NPI) is 1629060272, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Florida Department of Veterans Affairs?
- Florida Department of Veterans Affairs is classified in the NPPES registry as Alzheimer Center (Dementia Center) (Nursing & Custodial Care Facilities).
- Where is Florida Department of Veterans Affairs located?
- Florida Department of Veterans Affairs's practice location on file with NPPES is 21281 Grayton Ter, Port Charlotte, FL 33954-3109.
- What is Florida Department of Veterans Affairs's phone number?
- The practice phone number listed in the NPPES registry for Florida Department of Veterans Affairs is (941) 613-0919.
- Does Florida Department of Veterans Affairs accept Medicare?
- Florida Department of Veterans Affairs is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Florida Department of Veterans Affairs?
- The authorized official listed on Florida Department of Veterans Affairs's NPPES record is William Puckett, Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Florida Department of Veterans Affairs's NPI active?
- Yes — Florida Department of Veterans Affairs's NPI (1629060272) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.