Organization · Type 2 NPI

Florida Department of Veterans Affairs

Assisted Living Facility · Lake City, FL

NPI number 1962494518 Active

Practice location

751 SE Sycamore Ter
Lake City, FL 32025-6216

Fax (386) 758-0549

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	AL7975 (FL)

Assisted Living Facility: 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.

3 other providers at this address

Other assisted living facility providers in Lake City

See all in Lake City →

NPI record

NPI: 1962494518
Entity type: Organization (Type 2)
Issued: Aug 19, 2005
Last updated: Jul 8, 2026
Status: Active

Other names

<unavail>
Robert H Jenkins JR Veterans Domiciliary Home of Florida · doing business as
Robert H Jenkins JR Veterans Domiciliary Home of Florida · other name

Authorized official

Mr. William C Puckett
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.

Is this your record? How to update it.

About NPI 1962494518

Florida Department of Veterans Affairs's National Provider Identifier is 1962494518, issued on Aug 19, 2005. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Lake City, FL. The record was last updated on Jul 8, 2026.