DIVERSICARE LEASING CORP. (NPI# 1174511398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174511398 |
| Entity Type | Organization |
| Organization Name | DIVERSICARE LEASING CORP. |
| Other Organization Name | BOYD NURSING & REHABILITATION CENTER |
| Practice Address |
12800 Princeland Dr Ashland KY 41102-9681 |
| Practice Telephone | 6069282963 |
| Practice Fax Number | 6069283879 |
| Mailing Telephone | 6069282963 |
| Mailing Fax Number | 6069283879 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2009-11-04 |
| Authorized Official Name | RAYMOND L. TYLER JR. (EXECUTIVE VICE PRESIDENT AND COO) |
| Authorized Official Telephone | 6157717575 |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVOCAT INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 100689 | KY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 12503082 | 05 |
| Other Name | Type Code |
|---|---|
| Boyd 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 |
12800 PRINCELAND DR |
| City | ASHLAND |
| State | KY |
| Zip Code | 41102-9681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669973046 | Jessica Taylor Haworth | Speech-Language Pathologist | 12800 Princeland Dr, Ashland, KY 41102-9681 | 2018-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145807 | Logan Kevin Payton | Speech-Language Pathologist | 2801 Adams Avenue, Ashland, KY 41102 | 2020-08-17 |
| 1902424203 | Charles Russell Stewart | Technician | 2613 Piqua St., Ashland, KY 41102 | 2020-07-13 |
| 1235660069 | Brittni Parsons | Social Worker | 6417 State Route 60, Ashland, KY 41102 | 2017-03-23 |
| 1013450212 | A Center 4 Change | Counselor | 5900 Us Highway 60 West, Suite B, Ashland, KY 41102 | 2016-11-21 |
| 1437600814 | Ashland Hospital Corporation | Physician Assistant | 3215 South 29th St, Ashland, KY 41102 | 2016-10-20 |
| 1174074553 | Ashland Hospital Corporation | Physician Assistant | 1100 Bob Mccullough Dr, Ashland, KY 41102 | 2016-10-20 |
| 1598120495 | David Zachary Porter | Counselor | 3728 Peachtree Rd, Ashland, KY 41102 | 2015-12-18 |
| 1326465147 | Erik Mullins | Physical Therapy Assistant | 2800 Pleasant Avenue, Ashland, KY 41102 | 2014-03-19 |
| 1508095639 | Kentucky Medical Logistics Inc | Ambulance | 425 22nd Street, Ashland, KY 41102 | 2009-07-10 |
| 1184872608 | Carolyn Jayne Estepp | Nurse Practitioner | 12470 Us 60, Ashland, KY 41102 | 2008-09-09 |
| Find all providers in zip 41102 | ||||
| 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 |
|---|---|---|---|---|
| 1861865065 | Waterview Lodge LLC | Skilled Nursing Facility | 250 W Union St, Ashland, MA 01721-1420 | 2015-11-10 |
| 1245351667 | Ssc Ashland Operating Company LLC | Skilled Nursing Facility | 1319 Beaser Ave, Ashland, WI 54806-3614 | 2007-04-03 |
| 1609822089 | Five Star Quality Care-ne LLC | Skilled Nursing Facility | 1700 Furnas Street, Ashland, NE 68003-1254 | 2006-05-26 |
| 1003866757 | Ggnsc Ashland LLC | Skilled Nursing Facility | 911 3rd St W, Ashland, WI 54806-1311 | 2006-05-11 |
| 1609855154 | Vanguard of Ashland, LLC | Skilled Nursing Facility | 16056 Boundary Dr, Ashland, MS 38603 | 2006-01-12 |
| 1285623892 | Woodland Oaks Manor LLC | Skilled Nursing Facility | 1820 Oakview Rd, Ashland, KY 41101-3677 | 2005-10-17 |
| 1659368884 | Kingston of Ashland, LLC | Skilled Nursing Facility | 20 Amberwood Pkwy, Ashland, OH 44805-9765 | 2005-10-03 |
| 1679569909 | Care Center (linda Vista) Inc | Skilled Nursing Facility | 135 Maple St, Ashland, OR 97520-1514 | 2005-09-22 |
| 1952397366 | Ashland Nursing & Rehab LLC | Skilled Nursing Facility | 300 S Henry Clay Blvd, Ashland, MO 65010-9438 | 2005-09-21 |
| 1487653457 | The Good Shepherd Home for The Aged | Skilled Nursing Facility | 622 Center St, Ashland, OH 44805-3343 | 2005-07-20 |
| Find all providers in ASHLAND | ||||
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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.