Douglas Jacobson State Veterans Nursing Home

LBN: Florida Department Of Veterans Affairs
Douglas Jacobson State Veterans Nursing Home is an health care organization with primary practice located at 21281 Grayton Ter , Port Charlotte FL 33954-3109. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) is the primary health care specialty. Florida Department Of Veterans Affairs can be contacted via phone (941) 613-0919, or through Puckett, William G via phone (727) 518-3202.

Contact Information

Primary practice address
21281 Grayton Ter Port Charlotte FL 33954-3109
Phone: (941) 613-0919
Fax: (941) 613-0935
Website:
Map and Directions
Authorized official contact:
Name: Puckett, William G
Phone: (727) 518-3202

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X Florida
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Florida

Profile Details

NPI number 1629060272
LBN Legal business name Florida Department Of Veterans Affairs
DBA Doing business as Douglas Jacobson State Veterans Nursing Home
Authorized official Puckett, William G
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629060272 NPPES
Florida Other M4J BCBS

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