Organization provider

FLORIDA DEPARTMENT OF VETERANS AFFAIRS

Alzheimer Center (Dementia Center) Skilled Nursing Facility Medicare enrolled

FLORIDA DEPARTMENT OF VETERANS AFFAIRS is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1629060272, based in Port Charlotte, FL. The organization lists 2 taxonomy classifications, with Alzheimer Center (Dementia Center) recorded as primary.

Getting there

The practice address on file is 21281 GRAYTON TER, Port Charlotte, FL 33954. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

21281 GRAYTON TER, Port Charlotte, FL 33954 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
SNF130471029 FL Alzheimer Center (Dementia Center) primary
SNF130471029 FL Skilled Nursing Facility

This provider holds licence SNF130471029 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part A Provider - Skilled Nursing Facility
PAC ID
5698686608
Enrollment ID
O20120320000504

Medicare enrolment is recorded as approved under the provider type Part A Provider - Skilled Nursing Facility. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Alzheimer Center (Dementia Center) covers

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. NUCC Health Care Provider Taxonomy, code 311500000X
Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center)

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
311500000X Alzheimer Center (Dementia Center) SNF130471029 FL primary
314000000X Skilled Nursing Facility SNF130471029 FL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1629060272 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateAug 19, 2005
Last updatedJul 8, 2026
StatusActive
Practice address 21281 GRAYTON TER
Port Charlotte, FL 33954
(941) 613-0919
Fax (941) 613-0935
Other names Douglas T. Jacobson State Veterans Nursing Home Other Name
Other identifiers 026949200 · Medicaid (FL)
M4J · Other (FL)
This record was updated on Jul 8, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1629060272 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 2 9 0 6 0 2 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 4 9 0 6 0 2 5

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1629060272?
NPI 1629060272 is the National Provider Identifier assigned to FLORIDA DEPARTMENT OF VETERANS AFFAIRS in Port Charlotte, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Alzheimer Center (Dementia Center) cover?
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…
How do I contact FLORIDA DEPARTMENT OF VETERANS AFFAIRS?
The phone number on file with NPPES is (941) 613-0919, last updated Jul 8, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does FLORIDA DEPARTMENT OF VETERANS AFFAIRS accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1629060272 a valid number?
Yes. 1629060272 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.