Diversicare Leasing Corp. in West Liberty - Skilled Nursing Facility

Diversicare Leasing Corp. - NPI 1578551891

Diversicare Leasing Corp. is a Skilled Nursing Facility in West Liberty, Kentucky. Diversicare Leasing Corp. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Diversicare Leasing Corp. is 1578551891. The last update date is 2020-08-22.

Diversicare Leasing Corp.'s current location address is 774 Liberty Rd, West Liberty, Kentucky. You can contact this provider via phone number 6067433846 and fax number 6067432540. The mailing address for Diversicare Leasing Corp. is 774 Liberty Rd, West Liberty, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization Diversicare Leasing Corp.
Address 774 Liberty Rd, West Liberty, Kentucky
Phone Number 6067433846
Fax Number 6067432540
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Tyler L. Raymond
Telephone Number 6157717575

NPI Number Detail

NPI Number 1578551891
Provider Enumeration Date 2005-10-11
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 774 Liberty Rd
City West Liberty
State Kentucky (KY)
Post Code 414722052
Phone Number 6067433846
Fax Number 6067432540

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 100340
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12503017 KY --

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FAQs about Diversicare Leasing Corp.

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) 1578551891 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: 774 Liberty Rd, West Liberty, KY, 414722052.

What is Diversicare Leasing Corp.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Diversicare Leasing Corp.'s specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.

On what date did the Diversicare Leasing Corp. receive the assignment of its 1578551891 from the Centers for Medicare & Medicaid Services?

The Diversicare Leasing Corp. was issued its 1578551891 by the Centers for Medicare & Medicaid Services on 2005-10-11.

As of what date were the details pertaining to Diversicare Leasing Corp. last refreshed?

The information related to the Diversicare Leasing Corp., including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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