DOUGLAS JACOBSON STATE VETERANS NURSING HOME
NPI 1629060272
Alzheimer Center (dementia Center) in Port Charlotte,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 19, 2005

Contact Information

21281 Grayton Ter
Port Charlotte,
Post Code: 33954
Phone: (941) 613-0919
Fax: (941) 613-0935

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Douglas Jacobson State Veterans Nursing Home in Port Charlotte - Alzheimer Center (Dementia Center)

Douglas Jacobson State Veterans Nursing Home is a Alzheimer Center (Dementia Center) in Port Charlotte, . Douglas Jacobson State Veterans Nursing Home practices all healthcare services and medical treatments related to Alzheimer Center (Dementia Center). The NPI Number for Douglas Jacobson State Veterans Nursing Home is 1629060272. The last update date is 2020-08-22.

Douglas Jacobson State Veterans Nursing Home's current location address is 21281 Grayton Ter, Port Charlotte, . You can contact this provider via phone number (941) 613-0919 and fax number (941) 613-0935. The mailing address for Douglas Jacobson State Veterans Nursing Home is 21281 Grayton Ter, Port Charlotte, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1629060272
Provider Legal Name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Other Organization Name
DOUGLAS JACOBSON STATE VETERANS NURSING HOME
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
21281 Grayton Ter, Port Charlotte,
Location Phone
(941) 613-0919
Location Fax
(941) 613-0935
Mailing Address
21281 Grayton Ter, Port Charlotte, Florida(FL)
Mailing Phone
941-613-0919
Mailing Fax
941-613-0935
Enumeration Date
2005-08-19
Last Update Date
2020-08-22
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 311500000X Alzheimer Center (Dementia Center)

Alzheimer Center (Dementia Center)

SNF130471029 (Florida)
2 314000000X Skilled Nursing Facility

Skilled Nursing Facility

SNF130471029 (Florida)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
026949200 MEDICAID (05) Florida (FL)
M4J Other (non-Medicare) (01) Florida (FL) BCBS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629060272
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2649060214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2649060214
2 + 6 + 4 + 9 + 0 + 6 + 0 + 2 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2 2

The NPI number 1629060272 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588667638 WILLIAM C PILCHER
Individual
Internal Medicine, Cardiovascular Disease 1824 KING STREET
JACKSONVILLE, Florida (FL)
904-388-1820
1114920261 RICHARD RANDALL THACKER
Individual
Internal Medicine 2770 CAPITAL MEDICAL BLVD
TALLAHASSEE, Florida (FL)
850-878-8235
1306849336 ERIC L TOWNSEND
Individual
Dentist, General Practice 105 SOLANA RD
PONTE VEDRA, Florida (FL)
904-285-7711
1326041476 RICHARD G SCHWARTZ
Individual
Plastic Surgery 1500 N DIXIE HWY
WEST PALM BEACH, Florida (FL)
561-833-4022
1295738243 MEDFUND LLC
HORIZON COLUMBUS LLC
Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 240 N WASHINGTON BLVD
SARASOTA, Florida (FL)
941-925-3490