Diversicare Leasing Lp in New Tazewell - Skilled Nursing Facility
Diversicare Leasing Lp - NPI 1124016241
Diversicare Leasing Lp is a Skilled Nursing Facility in New Tazewell, Tennessee. Diversicare Leasing Lp practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Diversicare Leasing Lp is 1124016241. The last update date is 2023-01-19.
Diversicare Leasing Lp's current location address is 902 Buchanan Rd, New Tazewell, Tennessee. You can contact this provider via phone number 4236268215 and fax number 4236260676. The mailing address for Diversicare Leasing Lp is 902 Buchanan Rd, New Tazewell, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Diversicare Leasing Lp |
|---|---|
| Address | 902 Buchanan Rd, New Tazewell, Tennessee |
| Phone Number | 4236268215 |
| Fax Number | 4236260676 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO/SECRET |
|---|---|
| Authorized Official Name | Weishaar J. Matthew |
| Telephone Number | 6155509459 |
NPI Number Detail
| NPI Number | 1124016241 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2023-01-19 |
Provider Mailing Address Detail
| Address | 902 Buchanan Rd |
|---|---|
| City | New Tazewell |
| State | Tennessee (TN) |
| Post Code | 378257410 |
| Phone Number | 4236268215 |
| Fax Number | 4236260676 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 39 |
|
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 |
|---|---|---|---|
| 744-0453 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Diversicare Leasing Lp?
The Diversicare Leasing Lp has been issued the NPI (National Provider Identifier) 1124016241 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Diversicare Leasing Lp is located?
The Diversicare Leasing Lp is situated at the following address: 902 Buchanan Rd, New Tazewell, TN, 378257410.
What is Diversicare Leasing Lp's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Diversicare Leasing Lp is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124016241 to Diversicare Leasing Lp?
The Diversicare Leasing Lp received its 1124016241 assignment from the Centers for Medicare & Medicaid Services on 2005-10-12.
As of what date were the Diversicare Leasing Lp's details last updated?
The information pertaining to the Diversicare Leasing Lp, including its address, specialty, and other details, was most recently updated on 2023-01-19.
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