DIVERSICARE ESTATES LLC


Address: 201 Sycamore School Rd, Fort Worth, TX 76134-5009
Phone: 8172937610

DIVERSICARE ESTATES LLC (NPI# 1053511998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053511998
Entity Type Organization
Organization Name DIVERSICARE ESTATES LLC
Other Organization Name ESTATES HEALTHCARE AND REHABILITATION CENTER
Practice Address 201 Sycamore School Rd
Fort Worth
TX 76134-5009
Practice Telephone 8172937610
Practice Fax Number 8172935766
Mailing Telephone 8172937610
Mailing Fax Number 8172935766
Enumeration Date 2007-07-19
Last Update Date 2012-08-04
Authorized Official Name KELLY J GILL (PRESIDENT AND CEO)
Authorized Official Telephone 6157717575
Is Organization Subpart Y
Parent Organization Name ADVOCAT INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 114048 TX Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX MEDICARE SNF 67-5028 01

Other Provider/Organization Names

Other Name Type Code
Estates Healthcare and Rehabilitation Center Doing Business As Name - Organization

Office Location

Street Address 201 SYCAMORE SCHOOL RD
City FORT WORTH
State TX
Zip Code 76134-5009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093834970 Anna J Manzano Social Worker 201 Sycamore School Rd, Fort Worth, TX 76134-5009 2007-03-29
1720445976 Andrea Spencer Speech-Language Pathologist 201 Sycamore School Rd, Fort Worth, TX 76134-5009 2016-01-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649524125 En'style Hair & Total Image Studio Prosthetic/Orthotic Supplier 1173 Sunderland Lane, Fort Worth, TX 76134 2012-11-05
1144479601 Vidya Sri Suri Dentist 1900 W Everman Parkway #130, Fort Worth, TX 76134 2008-09-09
1003004490 Richard Irwin Marks Dentist 105 Bellvue Dr, Fort Worth, TX 76134 2007-10-10
1477518009 Peter D Hayward Emergency Medicine 11801 S Freeway, Fort Worth, TX 76134 2006-04-18
1013439686 Serenity Square L.l.c Respite Care 1121 Kielder Cir, Ft. Worth, TX 76134 2017-07-14
1154869717 Sycamore Dental Dentist 1900 W Everman Parkway #130, Fort Worth, TX 76134 2017-02-03
1346265071 Huguley Emergency Physicians, LLP Emergency Medicine 11801 S Freeway, Fort Worth, TX 76134 2006-07-13
1851356471 Harold E Johnson Emergency Medicine 11801 S. Freeway, Fort Worth, TX 76134 2006-04-18
1023073665 Karim S Jamal Emergency Medicine 11801 S. Freeway, Fort Worth, TX 76134 2006-04-18
1508821216 Mehboob S Qassam Emergency Medicine 11801 S. Freeway, Fort Worth, TX 76134 2006-04-18
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy 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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467973404 Moc Fort Worth LLC Skilled Nursing Facility 6301 Oakmont Blvd, Fort Worth, TX 76132-2814 2017-06-29
1669929642 Eastland Memorial Hospital District Skilled Nursing Facility 4240 Golden Triangle Boulevard, Fort Worth, TX 76244 2016-09-07
1326594052 Stockyards Healthcare, Inc. Skilled Nursing Facility 6301 Oakmont Boulevard, Fort Worth, TX 76132 2016-09-01
1770972572 Dallas County Hospital District Skilled Nursing Facility 7021 Bryant Irvin Rd, Fort Worth, TX 76132-4243 2015-01-15
1497172514 Stephens Memorial Hospital District Skilled Nursing Facility 306 W 7th Strret Suite 430, Fort Worth, TX 76102 2014-03-26
1245662675 Performance Care Centers LLC Skilled Nursing Facility 7021 Bryant Irvin Road, Fort Worth, TX 76132 2013-08-08
1881968808 Fw Senior Community Ltd Co Skilled Nursing Facility 4600 Heritage Trace Pkwy, Fort Worth, TX 76244-8900 2012-03-08
1750679098 Tarrant County Senior Living Center, Inc. Skilled Nursing Facility 2501 Museum Way, Fort Worth, TX 76107-3057 2011-07-20
1386949220 Remarkable Healthcare of Fort Worth, Lp Skilled Nursing Facility 6649 North Riverside Drive, Fort Worth, TX 76137 2011-01-25
1679895163 Decatur Hospital Authority Skilled Nursing Facility 850 12th Ave., Fort Worth, TX 76104-2516 2010-02-24
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Competitor

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City FORT WORTH
Zip Code 76134

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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