Diversicare Estates Llc in Fort Worth - Skilled Nursing Facility
Diversicare Estates Llc - NPI 1053511998
Diversicare Estates Llc is a Skilled Nursing Facility in Fort Worth, Texas. Diversicare Estates Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Diversicare Estates Llc is 1053511998. The last update date is 2012-08-04.
Diversicare Estates Llc's current location address is 201 Sycamore School Rd, Fort Worth, Texas. You can contact this provider via phone number 8172937610 and fax number 8172935766. The mailing address for Diversicare Estates Llc is 201 Sycamore School Rd, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Diversicare Estates Llc |
|---|---|
| Address | 201 Sycamore School Rd, Fort Worth, Texas |
| Phone Number | 8172937610 |
| Fax Number | 8172935766 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gill J Kelly |
| Telephone Number | 6157717575 |
NPI Number Detail
| NPI Number | 1053511998 |
|---|---|
| Provider Enumeration Date | 2007-07-19 |
| Last Updated Date | 2012-08-04 |
Provider Mailing Address Detail
| Address | 201 Sycamore School Rd |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761345009 |
| Phone Number | 8172937610 |
| Fax Number | 8172935766 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 114048 |
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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 |
|---|---|---|---|
| 67-5028 | TX | MEDICARE SNF |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Diversicare Estates Llc by the Centers for Medicare & Medicaid Services?
The Diversicare Estates Llc has been assigned the NPI (National Provider Identifier) 1053511998 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Diversicare Estates Llc?
The Diversicare Estates Llc is physically situated at 201 Sycamore School Rd, in the city of Fort Worth, state of TX, with the postal code 761345009.
What is the Diversicare Estates Llc's specialty and taxonomy code?
The Diversicare Estates Llc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Diversicare Estates Llc receive its 1053511998 assignment from the Centers for Medicare & Medicaid Services?
The Diversicare Estates Llc was assigned its 1053511998 by the Centers for Medicare & Medicaid Services on 2007-07-19.
When was the information regarding Diversicare Estates Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Diversicare Estates Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-08-04.