Diversicare Leasing Corp. in South Shore - Skilled Nursing Facility
Diversicare Leasing Corp. - NPI 1477541688
Diversicare Leasing Corp. is a Skilled Nursing Facility in South Shore, Kentucky. Diversicare Leasing Corp. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Diversicare Leasing Corp. is 1477541688. The last update date is 2020-08-22.
Diversicare Leasing Corp.'s current location address is Po Box 489, South Shore, Kentucky. You can contact this provider via phone number 6069323127 and fax number 6069324663. The mailing address for Diversicare Leasing Corp. is Po Box 489, South Shore, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Diversicare Leasing Corp. |
|---|---|
| Address | Po Box 489, South Shore, Kentucky |
| Phone Number | 6069323127 |
| Fax Number | 6069324663 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Tyler L. Raymond |
| Telephone Number | 6157717575 |
NPI Number Detail
| NPI Number | 1477541688 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 489 |
|---|---|
| City | South Shore |
| State | Kentucky (KY) |
| Post Code | 411750489 |
| Phone Number | 6069323127 |
| Fax Number | 6069324663 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 100156 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12503025 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification 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) 1477541688 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Diversicare Leasing Corp.'s facilities are geographically located?
The facilities of Diversicare Leasing Corp. are physically situated at the following location: Po Box 489, South Shore, KY, 411750489.
What is Diversicare Leasing Corp.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Diversicare Leasing Corp. is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.
When did Diversicare Leasing Corp. receive its 1477541688 assignment?
The Diversicare Leasing Corp. was assigned its 1477541688 on 2005-10-11, which is the date when this unique identifier was issued to the organization.
As of what date were the Diversicare Leasing Corp.'s details last updated?
The information pertaining to the Diversicare Leasing Corp., including its address, specialty, and other details, was most recently updated on 2020-08-22.