Organization · Type 2 NPI

Florida Department of Veterans Affairs

Skilled Nursing Facility · Daytona Beach, FL

NPI number 1174515654 Active

Practice location

1920 Mason Ave
Daytona Beach, FL 32117-5103

Fax (386) 274-3487

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	SNF1143095 (FL)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

9 other providers at this address

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NPI record

NPI: 1174515654
Entity type: Organization (Type 2)
Issued: Aug 19, 2005
Last updated: Jul 8, 2026
Status: Active

Other names

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Emory L Bennett State Veterans Nursing Home · doing business as
Emory L Bennett State Veterans Nursing Home · other name

Authorized official

Miss Claudia Renee Day
Program Director
(727) 518-3202

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174515654

Florida Department of Veterans Affairs's National Provider Identifier is 1174515654, issued on Aug 19, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Daytona Beach, FL. The record was last updated on Jul 8, 2026.