OrganizationActive
Florida Department of Veterans Affairs
NPI 1962494518 · Assisted Living Facility · Lake City, FL
Provider details
- NPI number
- 1962494518
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- William Puckett, Program Director(727) 518-3202
- License
- AL7975 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
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
751 Se Sycamore Ter
Lake City, FL 32025-6216
Phone: (386) 758-0600
Fax: (386) 758-0549
Street-level locationGet directions
Mailing address
751 Se Sycamore Ter
Lake City, FL 32025-6216
Other names (DBA / former)
- Doing business as
- Robert H Jenkins Jr Veterans Domiciliary Home of Florida
Registry dates
- Enumerated
- 2005-08-19
- Last updated
- 2022-08-09
- Certified
- 2022-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.