Diversicare Doctors Llc in Brentwood - Skilled Nursing Facility
Diversicare Doctors Llc - NPI 1962602805
Diversicare Doctors Llc is a Skilled Nursing Facility in Brentwood, Tennessee. Diversicare Doctors Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Diversicare Doctors Llc is 1962602805. The last update date is 2023-04-07.
Diversicare Doctors Llc's current location address is 1621 Galleria Blvd, Brentwood, Tennessee. You can contact this provider via phone number 2147717575 and fax number 6159156935. The mailing address for Diversicare Doctors Llc is 1621 Galleria Blvd, Brentwood, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Diversicare Doctors Llc |
|---|---|
| Address | 1621 Galleria Blvd, Brentwood, Tennessee |
| Phone Number | 2147717575 |
| Fax Number | 6159156935 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Weishaar J. Matthew |
| Telephone Number | 6155509459 |
NPI Number Detail
| NPI Number | 1962602805 |
|---|---|
| Provider Enumeration Date | 2007-07-19 |
| Last Updated Date | 2023-04-07 |
Provider Mailing Address Detail
| Address | 1621 Galleria Blvd |
|---|---|
| City | Brentwood |
| State | Tennessee (TN) |
| Post Code | 370272926 |
| Phone Number | 2147717575 |
| Fax Number | 6159156935 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 130500 |
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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 |
|---|---|---|---|
| 1015188 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Diversicare Doctors Llc?
The Diversicare Doctors Llc has been issued the NPI (National Provider Identifier) 1962602805 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Diversicare Doctors Llc's physical address?
The Diversicare Doctors Llc is physically located at 1621 Galleria Blvd, in the city of Brentwood, TN, with the postal code 370272926.
What is Diversicare Doctors Llc's area of expertise and its corresponding taxonomy classification?
The Diversicare Doctors Llc's field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Diversicare Doctors Llc receive its 1962602805 assignment from the Centers for Medicare & Medicaid Services?
The Diversicare Doctors Llc was assigned its 1962602805 by the Centers for Medicare & Medicaid Services on 2007-07-19.
When was the Diversicare Doctors Llc's information last updated?
The Diversicare Doctors Llc's information was last updated on 2023-04-07.