DIVERSICARE LEASING CORP. (NPI# 1093703308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093703308 |
| Entity Type | Organization |
| Organization Name | DIVERSICARE LEASING CORP. |
| Other Organization Name | CARTER NURSING & REHABILITATION CENTER |
| Practice Address |
250 Mcdavid Blvd Grayson KY 41143-1603 |
| Practice Telephone | 6064747835 |
| Practice Fax Number | 6064748114 |
| Mailing Telephone | 6064747835 |
| Mailing Fax Number | 6064748114 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RAYMOND L. TYLER JR. (EXECUTIVE VICE PRESIDENT AND COO) |
| Authorized Official Telephone | 6157717575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 100571 | KY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 12503132 | 05 |
| Other Name | Type Code |
|---|---|
| Carter Nursing & Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154310431 | Diversicare Leasing Corp. | Skilled Nursing Facility | Houston Highway, Luling, TX 78648-0230 | 2005-10-19 |
| 1407845068 | Diversicare Leasing Corp. | Skilled Nursing Facility | 670 W 4th St, Yorktown, TX 78164-5092 | 2005-10-17 |
| 1154310712 | Diversicare Leasing Corp. | Skilled Nursing Facility | 611 N Broad St, Lampasas, TX 76550-1105 | 2005-10-17 |
| 1548258676 | Diversicare Leasing Corp. | Skilled Nursing Facility | 537 Spring St, Dover, TN 37058-3232 | 2005-10-12 |
| 1376531343 | Diversicare Leasing Corp. | Skilled Nursing Facility | 107 N Medina St, Lockhart, TX 78644-1919 | 2005-10-12 |
| 1538157649 | Diversicare Leasing Corp. | Skilled Nursing Facility | 200 Mayfield Dr, Smyrna, TN 37167-3019 | 2005-10-12 |
| 1124016241 | Diversicare Leasing Corp. | Skilled Nursing Facility | 902 Buchanan Rd, New Tazewell, TN 37825-7410 | 2005-10-12 |
| 1538157664 | Diversicare Leasing Corp. | Skilled Nursing Facility | 158 Mount Pelia Rd, Martin, TN 38237-3812 | 2005-10-12 |
| 1780672873 | Diversicare Leasing Corp. | Skilled Nursing Facility | 2159 Dogwood Ridge Rd, Wheelersburg, OH 45694-9044 | 2005-10-12 |
| 1720076771 | Diversicare Leasing Corp. | Skilled Nursing Facility | Rte 32 E Howard Creek Rd, Sandy Hook, KY 41171 | 2005-10-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | DIVERSICARE LEASING CORP. | 1621 Galleria Boulevard, Brentwood, TN 37027 |
| Street Address |
250 MCDAVID BLVD |
| City | GRAYSON |
| State | KY |
| Zip Code | 41143-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871148841 | Carter Nursing and Rehabilitation LLC | Skilled Nursing Facility | 250 Mcdavid Blvd, Grayson, KY 41143-1603 | 2019-08-07 |
| 1093203200 | Christopher Dunn | Occupational Therapist | 250 Mcdavid Blvd, Grayson, KY 41143-1603 | 2018-04-24 |
| 1710487350 | Greg Matthew Mayhorn | Physical Therapist | 250 Mcdavid Blvd, Grayson, KY 41143-1603 | 2018-02-20 |
| 1366801854 | Erica Hughes | Occupational Therapist | 250 Mcdavid Blvd, Grayson, KY 41143-1603 | 2016-02-12 |
| 1740647395 | Kristin Bowens | Occupational Therapist | 250 Mcdavid Blvd, Grayson, KY 41143-1603 | 2016-01-26 |
| 1467819292 | Leigh Ann Setliff | Occupational Therapist | 250 Mcdavid Blvd, Grayson, KY 41143-1603 | 2016-01-25 |
| 1144692997 | Patricia M Wortley | Audiologist | 250 Mcdavid Blvd, Grayson, KY 41143-1603 | 2015-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893999 | Lewis County Primary Care Center, Inc | Pharmacy | 645 Interstate Drive, Grayson, KY 41143 | 2020-08-27 |
| 1902414659 | Brittany Mckenzie | Counselor | 411 Cribbs Hill, Grayson, KY 41143 | 2020-07-20 |
| 1184175564 | Ashland Hospital Corporation | Physician Assistant | 13321 St Rt 2, Grayson, KY 41143 | 2016-10-20 |
| 1467800730 | Allison Horsley | Pharmacist | 600 Cw Stevens Blvd, Grayson, KY 41143 | 2016-05-27 |
| 1083896328 | Little Sandy District Health Department | Public Health or Welfare | Hitchins Rd, Grayson, KY 41143 | 2007-11-28 |
| 1396943890 | Karen Riffe Buckler | Nutritionist | Courthouse Main Street, Little Sandy District Health Dept, Grayson, KY 41143 | 2007-07-05 |
| 1053533638 | Community Presence, Inc. | Counselor | 1758 East Midland Trail, Grayson, KY 41143 | 2007-05-03 |
| 1811051113 | Allen Edward Hall | Counselor | 35 Raintree Lane, Grayson, KY 41143 | 2006-12-20 |
| 1487761243 | Sanjiv Gupta | Internal Medicine | 300 State Highway 1947, Grayson, KY 41143 | 2006-08-25 |
| 1679610562 | Glenda Mcglone | Counselor | 840 Interstate Dr, Grayson, KY 41143 | 2007-01-31 |
| Find all providers in zip 41143 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376893404 | Platinum Adult Daycare | Skilled Nursing Facility | 1658 Silvergrass Ln, Grayson, GA 30017-1671 | 2012-09-17 |
| 1871148841 | Carter Nursing and Rehabilitation LLC | Skilled Nursing Facility | 250 Mcdavid Blvd, Grayson, KY 41143-1603 | 2019-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163697 | Providence Point Healthcare, Inc. | Skilled Nursing Facility | 100 Marshall Ct, Paducah, KY 42001-9639 | 2020-10-28 |
| 1366062432 | Exceptional Senior Living-prospect, LLC | Skilled Nursing Facility | 6901 Carslaw Ct, Prospect, KY 40059-8358 | 2020-04-20 |
| 1811527617 | Trilogy Healthcare of Bullitt, LLC | Skilled Nursing Facility | 119 East Sanders Lane, Mt. Washington, KY 40047 | 2020-01-21 |
| 1659856961 | Salyersville Health Operating Company LLC | Skilled Nursing Facility | 662 Parkway Dr, Salyersville, KY 41465-9249 | 2018-10-02 |
| 1104307271 | Boonespring Transitional Care Center, LLC | Skilled Nursing Facility | 10250 Us 42, Union, KY 41091 | 2018-08-27 |
| 1740710623 | Landmark of Louisville Rehabilitation and Nursing Center | Skilled Nursing Facility | 1155 Eastern Parkway, Louisville, KY 40217 | 2017-06-14 |
| 1437682309 | Landmark of Lancaster Rehabilitation and Nursing Center | Skilled Nursing Facility | 308 W Maple Ave, Lancaster, KY 40444-1005 | 2017-04-07 |
| 1962954529 | Martin Manor Operations, LLC | Skilled Nursing Facility | 62 Maude Rd., Inez, KY 41224 | 2016-10-31 |
| 1023560661 | Robertson Operations, LLC | Skilled Nursing Facility | Route 2 Hwy 62, Mt. Olivet, KY 41064 | 2016-10-31 |
| 1205386208 | Vanceburg Leasing, LLC | Skilled Nursing Facility | 58 Eastham St, Vanceburg, KY 41179-5462 | 2016-10-13 |
| Find all providers with the same taxonomy | ||||
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| 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.