1. Home
  2. Directory
  3. Florida
  4. Lake City
  5. Assisted Living Facility
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FLORIDA DEPARTMENT OF VETERANS AFFAIRS
NPI 1962494518
Assisted Living Facility in Lake City, FL

Active since August 19, 2005CLIA 10D0951911 · Waiver
751 SE SYCAMORE TER, LAKE CITY, FL 32025(386) 758-0600(386) 758-0549 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2026, Aug 9, 2022, Aug 22, 2020 (3 updates tracked since 2020).

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 1962494518), doing business as Robert H Jenkins Jr Veterans Domiciliary Home Of Florida, is a healthcare organization registered as an assisted living facility in Lake City, Florida and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists William C Puckett, Program Director, as its authorized official.

NPPES Registry Identity

NPI1962494518
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFLORIDA DEPARTMENT OF VETERANS AFFAIRS
Location Address751 SE SYCAMORE TERLake City, FL 32025-6216
Mailing Address751 Se Sycamore TerLake City, FL 32025-6216 · (386) 758-0600 · Fax (386) 758-0549
Phone(386) 758-0600
Fax(386) 758-0549
Organization SubpartNo
Authorized OfficialWilliam C PuckettProgram Director · (727) 518-3202
Enumeration DateAugust 19, 2005
Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1962494518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL7975
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
751 SE SYCAMORE TER, Lake City, FL 32025
Open in Google Maps ↗

Other Names 1

Doing Business AsRobert H Jenkins Jr Veterans Domiciliary Home Of Florida

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0951911

Robert H Jenkins Jr Veterans' Domiciliary Home Of Flordia · Lake City, FL
Active · expires Sep 29, 2026
CLIA Number10D0951911
Laboratory TypeOther
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorLeopold B. Leblique
Laboratory Phone(386) 758-0600
Laboratory LocationRobert H Jenkins Jr Veterans' Domiciliary Home Of Flordia751 SE Sycamore Terrace, Lake City, FL 32025
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MISS SHANNON RENEE PARKINSON MSN, APRN, FNP-C
Nurse Practitioner (Family)
751 SE SYCAMORE TER
LAKE CITY, FL 32025
Columbia County (386) 758-0600
DR. RENE WALBERTO ZAMBRANA DNP, ARNP
Nurse Practitioner (Primary Care)
751 SE SYCAMORE TER
LAKE CITY, FL 32025
Columbia County (386) 758-0600
NAI CHEN
Pharmacist
751 SE SYCAMORE TER
LAKE CITY, FL 32025
Columbia County (386) 758-0600

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 1962494518. It was assigned to this organization in the NPPES registry on August 19, 2005. The provider is doing business as Robert H Jenkins Jr Veterans Domiciliary Home of Florida.

Where is Florida Department Of Veterans Affairs located?

Florida Department Of Veterans Affairs is located at 751 SE Sycamore Ter, Lake City, FL 32025. The listed phone number is (386) 758-0600.

What is Florida Department Of Veterans Affairs's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Florida Department Of Veterans Affairs hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0951911) is associated with this NPI, valid through September 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.