Diversicare Leasing Corp. in Malvern - Skilled Nursing Facility
Diversicare Leasing Corp. - NPI 1750379335
Diversicare Leasing Corp. is a Skilled Nursing Facility in Malvern, Arkansas. Diversicare Leasing Corp. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Diversicare Leasing Corp. is 1750379335. The last update date is 2020-08-22.
Diversicare Leasing Corp.'s current location address is 105 Russellville Rd, Malvern, Arkansas. You can contact this provider via phone number 5013325251 and fax number 5013379354. The mailing address for Diversicare Leasing Corp. is 105 Russellville Rd, Malvern, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Diversicare Leasing Corp. |
|---|---|
| Address | 105 Russellville Rd, Malvern, Arkansas |
| Phone Number | 5013325251 |
| Fax Number | 5013379354 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Tyler L. Raymond |
| Telephone Number | 6157717575 |
NPI Number Detail
| NPI Number | 1750379335 |
|---|---|
| Provider Enumeration Date | 2005-10-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 105 Russellville Rd |
|---|---|
| City | Malvern |
| State | Arkansas (AR) |
| Post Code | 721046700 |
| Phone Number | 5013325251 |
| Fax Number | 5013379354 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 542 |
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Definition: (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 serv |
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What is the unique identifier code issued to Diversicare Leasing Corp. by the Centers for Medicare & Medicaid Services?
The Diversicare Leasing Corp. has been assigned the NPI (National Provider Identifier) 1750379335. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Diversicare Leasing Corp.?
The Diversicare Leasing Corp. is physically situated at 105 Russellville Rd, in the city of Malvern, state of AR, with the postal code 721046700.
What is Diversicare Leasing Corp.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Diversicare Leasing Corp. is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1750379335 to Diversicare Leasing Corp.?
The Diversicare Leasing Corp. received its 1750379335 assignment from the Centers for Medicare & Medicaid Services on 2005-10-08.
As of what date was the information pertaining to Diversicare Leasing Corp., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Diversicare Leasing Corp., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY