Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

FLORIDA DEPARTMENT OF VETERANS AFFAIRS
NPI 1629060272
Alzheimer Center (Dementia Center) in Port Charlotte, FL

Q: What is Florida Department Of Veterans Affairs's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Q: What quality rating does Florida Department Of Veterans Affairs have?

CMS rates Douglas Jacobson State Veterans Nursing Home 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since August 19, 2005

5/5

Overall Rating

21281 GRAYTON TER, PORT CHARLOTTE, FL 33954(941) 613-0919(941) 613-0935 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2026, Sep 11, 2025, Aug 22, 2020 (3 updates tracked since 2020).

On this page

About Florida Department Of Veterans Affairs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA DEPARTMENT OF VETERANS AFFAIRS (NPI 1629060272), doing business as Douglas Jacobson State Veterans Nursing Home, is a healthcare organization registered as an alzheimer center (dementia center) in Port Charlotte, Florida and active in the NPI registry since August 2005. The organization lists William G Puckett, Program Director, as its authorized official.

NPPES Registry Identity

NPI1629060272

Entity TypeOrganization

Primary Taxonomy311500000X

Legal Business NameFLORIDA DEPARTMENT OF VETERANS AFFAIRS

Location Address21281 GRAYTON TERPort Charlotte, FL 33954-3109

Mailing Address21281 Grayton TerPort Charlotte, FL 33954-3109 · (941) 613-0919 · Fax (941) 613-0935

Phone(941) 613-0919

Fax(941) 613-0935

Organization SubpartNo

Authorized OfficialWilliam G PuckettProgram Director · (727) 518-3202

Enumeration DateAugust 19, 2005

Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1629060272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities

Taxonomy Code311500000X

License✔ Licensed in FL · SNF130471029

Definition

A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License SNF130471029 (FL)

21281 GRAYTON TER, Port Charlotte, FL 33954

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Other Names 2

Doing Business AsDouglas Jacobson State Veterans Nursing Home

Other NameDouglas T. Jacobson State Veterans Nursing Home

Other Identifiers 2

Medicaid026949200FL

OtherM4JFL · Bcbs

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Douglas Jacobson State Veterans Nursing Home (CMS certification number 106059), from CMS Care Compare.

Douglas Jacobson State Veterans Nursing Home

Nursing home · Port Charlotte, FL

5/5 CMS Overall Rating

OwnershipGovernment - State

CMS Certification Number106059

Certified Beds120 beds111 residents per day on average

Medicare & Medicaid Participant SinceJune 7, 2004

Resident & Family CouncilResident and family councils

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

5/5

Long-Stay Quality

Quality of care delivered to long-term residents.

5/5

Staffing

Based on nursing staff hours relative to resident needs.

5/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

19.33

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 3.22 · LPN 0.96 · RN 0.98

5.15 hrs per resident per day

Weekend Nurse Staffing

4.18 hrs per resident per day

Physical Therapist Staffing

0.05 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

22.5%

Registered Nurse Turnover

27.8%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Fines

6 totaling $19,531.75

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARY VIRGINIA CAPUTI PHARMD

Pharmacist (Pharmacotherapy)

21281 GRAYTON TER, DOUGLAS T. JACOBSON STATE VETERANS NURSING HOME
PORT CHARLOTTE, FL 33954

Charlotte County (941) 235-2710

LAINEY ELIZABETH ULRICH PTA

Physical Therapy Assistant

21281 GRAYTON TER
PORT CHARLOTTE, FL 33954

Charlotte County (941) 613-0919

MRS. MARIE MAY BEADLE PHARMD

Pharmacist (Geriatric)

21281 GRAYTON TER
PORT CHARLOTTE, FL 33954

Charlotte County (941) 613-0919

CALLMAN INTERNAL MEDICINE

Internal Medicine

21281 GRAYTON TER, D JACOBSON VA NH
PORT CHARLOTTE, FL 33954

Charlotte County (941) 206-5200

STEPHANIE LYNN PARKINSON COTA/L

Occupational Therapy Assistant

21281 GRAYTON TER
PORT CHARLOTTE, FL 33954

Charlotte County (941) 613-0919

TRAVIS DARROW OTR/L

Occupational Therapist

21281 GRAYTON TER
PORT CHARLOTTE, FL 33954

Charlotte County (941) 613-0919

MRS. VICKIE SHUFFITT P.T.

Physical Therapist

21281 GRAYTON TER, DOUGLAS T JACOBSON VETERANS HOME
PORT CHARLOTTE, FL 33954

Charlotte County (941) 613-0919

ANTHONY B DOZIER II

Physical Therapist

21281 GRAYTON TER
PORT CHARLOTTE, FL 33954

Charlotte County (941) 613-0919

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 Florida Department Of Veterans Affairs's NPI number?

The NPI number for Florida Department Of Veterans Affairs is 1629060272. It was assigned to this organization in the NPPES registry on August 19, 2005. The provider is doing business as Douglas Jacobson State Veterans Nursing Home. The provider is also known as Douglas T. Jacobson State Veterans Nursing Home.

Where is Florida Department Of Veterans Affairs located?

Florida Department Of Veterans Affairs is located at 21281 Grayton Ter, Port Charlotte, FL 33954. The listed phone number is (941) 613-0919.

What is Florida Department Of Veterans Affairs's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Is Florida Department Of Veterans Affairs a Medicare-certified nursing home?

Yes. Douglas Jacobson State Veterans Nursing Home is a Medicare-certified nursing home with 120 certified beds.

What quality rating does Florida Department Of Veterans Affairs have?

CMS rates Douglas Jacobson State Veterans Nursing Home 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Florida Department Of Veterans Affairs was last updated on July 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.