Diversicare Leasing Corp. in Yorktown - Skilled Nursing Facility
Diversicare Leasing Corp. - NPI 1407845068
Diversicare Leasing Corp. is a Skilled Nursing Facility in Yorktown, Texas. Diversicare Leasing Corp. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Diversicare Leasing Corp. is 1407845068. The last update date is 2020-08-22.
Diversicare Leasing Corp.'s current location address is 670 W 4th St, Yorktown, Texas. You can contact this provider via phone number 3615642275 and fax number 3615643593. The mailing address for Diversicare Leasing Corp. is 670 W 4th St, Yorktown, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Diversicare Leasing Corp. |
|---|---|
| Address | 670 W 4th St, Yorktown, Texas |
| Phone Number | 3615642275 |
| Fax Number | 3615643593 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Tyler L. Raymond |
| Telephone Number | 6157717575 |
NPI Number Detail
| NPI Number | 1407845068 |
|---|---|
| Provider Enumeration Date | 2005-10-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 670 W 4th St |
|---|---|
| City | Yorktown |
| State | Texas (TX) |
| Post Code | 781645092 |
| Phone Number | 3615642275 |
| Fax Number | 3615643593 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 114687 |
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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 |
|---|---|---|---|
| 4759 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Diversicare Leasing Corp. by the Centers for Medicare & Medicaid Services (CMS)?
The Diversicare Leasing Corp. has been assigned the NPI (National Provider Identifier) 1407845068. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Diversicare Leasing Corp.?
The Diversicare Leasing Corp. is situated at 670 W 4Th St, in the city of Yorktown, state of TX, with the zip code 781645092.
What is Diversicare Leasing Corp.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Diversicare Leasing Corp. is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
On what date did Diversicare Leasing Corp. receive its 1407845068 assignment from the Centers for Medicare & Medicaid Services?
The Diversicare Leasing Corp. was assigned its 1407845068 on 2005-10-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Diversicare Leasing Corp., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Diversicare Leasing Corp., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.