DIVERSICARE LEASING CORP. (NPI# 1114915782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114915782 |
| Entity Type | Organization |
| Organization Name | DIVERSICARE LEASING CORP. |
| Other Organization Name | DES ARC NURSING & REHABILITATION CENTER |
| Practice Address |
2216 Main St Des Arc AR 72040-3100 |
| Practice Telephone | 8702564194 |
| Practice Fax Number | 8702561407 |
| Mailing Telephone | 8702564194 |
| Mailing Fax Number | 8702561407 |
| Enumeration Date | 2005-10-07 |
| 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 | 532 | AR | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Des Arc 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 |
| Indiana Business Entities | DIVERSICARE LEASING CORP. | 1621 Galleria Blvd, Brentwood, TN 37027 |
| Street Address |
2216 MAIN ST |
| City | DES ARC |
| State | AR |
| Zip Code | 72040-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164806824 | Prairie Snf Operations LLC | Skilled Nursing Facility | 2216 Main St, Des Arc, AR 72040-3100 | 2015-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497975767 | City of Des Arc Office of City Clerk | Ambulance | 107 3rd St S, Des Arc, AR 72040 | 2007-04-27 |
| 1346275690 | Angela Howard Gray | Dentist | 405 Hwy 11 North, Des Arc, AR 72040 | 2006-07-12 |
| 1255392833 | Arcare | Clinic/Center | 405 Highway 11 North, Des Arc, AR 72040 | 2006-03-31 |
| 1710997861 | State of Arkansas | Home Health | 214 Main Street, Prairie County Health Unit, Des Arc, AR 72040-0249 | 2006-08-09 |
| 1508903139 | Wayne Ray Harvey | Pharmacy | 313 Main St, Des Arc, AR 72040-1071 | 2007-01-31 |
| 1306279708 | Prairie Operations, LLC | Skilled Nursing Facility | 2216 West Main Street, Des Arc, AR 72040-3100 | 2013-08-21 |
| 1881745420 | Des Arc School District | Local Education Agency (LEA) | 600 Main St, Des Arc, AR 72040-3112 | 2007-01-12 |
| 1649267394 | Tlcs, P.C. | Nurse Practitioner | 102 Hamilton St, Des Arc, AR 72040-3123 | 2005-09-28 |
| 1124076633 | Pamlia Merlene Cook | Nurse Practitioner | 405 Highway 11 N, Des Arc, AR 72040-3140 | 2006-05-05 |
| 1871554576 | Arcare | Clinic/Center | 405 Hwy 11 N, Des Arc, AR 72040-3140 | 2006-03-31 |
| Find all providers in zip 72040 | ||||
| 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 |
|---|---|---|---|---|
| 1306279708 | Prairie Operations, LLC | Skilled Nursing Facility | 2216 West Main Street, Des Arc, AR 72040-3100 | 2013-08-21 |
| 1164806824 | Prairie Snf Operations LLC | Skilled Nursing Facility | 2216 Main St, Des Arc, AR 72040-3100 | 2015-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558904979 | Ola Ops, Inc. | Skilled Nursing Facility | 502 W Pennington St, Ola, AR 72853-8851 | 2019-10-18 |
| 1831746676 | Cwnc Ops Inc | Skilled Nursing Facility | 1393 E Don Tyson Pkwy, Springdale, AR 72764-7882 | 2019-08-26 |
| 1881256493 | Bayshore, LLC | Skilled Nursing Facility | 260 Lakepark Dr, Hot Springs, AR 71901-9260 | 2019-07-03 |
| 1508322249 | Superior Health & Rehab LLC | Skilled Nursing Facility | 625 Tommy Lewis Dr, Conway, AR 72032-7006 | 2019-02-19 |
| 1447733480 | Chc Lakeside Nursing Center, LLC | Skilled Nursing Facility | 1207 Willow Run St, Lake City, AR 72437-9520 | 2018-09-14 |
| 1811470784 | Ltc of Berryville, LLC | Skilled Nursing Facility | 500 Hammond Avenue, Berryville, AR 72616 | 2018-09-07 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1386140341 | Three Rivers Nursing and Rehabilitation LLC | Skilled Nursing Facility | 33904 Highway 63 E, Marked Tree, AR 72365-9521 | 2018-03-30 |
| 1093244097 | Salco Nc 2, Inc. | Skilled Nursing Facility | 6420 Alcoa Rd, Benton, AR 72015-6315 | 2017-06-05 |
| 1184168072 | Dierks Healthcare & Rehabilitation Center LLC | Skilled Nursing Facility | 402 S Arkansas Ave, Dierks, AR 71833-9001 | 2016-12-12 |
| 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.