<Unavail>

LBN: Diversicare Leasing Corp.
<Unavail> is an health care organization with primary practice located at 774 Liberty Rd , West Liberty KY 41472-2052. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Diversicare Leasing Corp. can be contacted via phone (606) 743-3846, or through Tyler, Raymond L. via phone (615) 771-7575.

Contact Information

Primary practice address
774 Liberty Rd West Liberty KY 41472-2052
Phone: (606) 743-3846
Fax: (606) 743-2540
Website:
Map and Directions
Authorized official contact:
Name: Tyler, Raymond L.
Phone: (615) 771-7575

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100340 Kentucky

Profile Details

NPI number 1578551891
LBN Legal business name Diversicare Leasing Corp.
DBA Doing business as <Unavail>
Authorized official Tyler, Raymond L.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578551891 NPPES
Kentucky MEDICAID 12503017

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