Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Florida Department of Veterans Affairs

Organization Alzheimer Center (Dementia Center) · NPI 1629060272

Florida Department of Veterans Affairs is an Alzheimer Center (Dementia Center) in Port Charlotte, Florida. Medicare rates this nursing home 3 out of 5. Licensed in Florida.

CMS rating
3 of 5
Licensed in
FL
In the registry since
2005
Specialties on file
2

CMS quality rating

3 out of 5 — official nursing home rating from CMS Care Compare (CCN 106059)
Health inspection2.0 / 5
Staffing5.0 / 5
Quality measures2.0 / 5
OwnershipGovernment - State

Practice location Address checks out

21281 Grayton Ter
Port Charlotte, FL 33954-3109
Phone: (941) 613-0919
Fax: (941) 613-0935
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Alzheimer Center (Dementia Center) (primary) Taxonomy 311500000X · Licence SNF130471029 (FL)
Skilled Nursing Facility Taxonomy 314000000X · Licence SNF130471029 (FL)

Record details

NPI number1629060272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Puckett — Program Director · (727) 518-3202
Other names Douglas Jacobson State Veterans Nursing Home; Douglas T. Jacobson State Veterans Nursing Home
NPI enumeratedAugust 19, 2005
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address21281 Grayton Ter, Port Charlotte, FL 33954-3109