<Unavail>

LBN: Diversicare Leasing Lp
<Unavail> is an health care organization with primary practice located at 4164 Halls Mill Rd , Mobile AL 36693-5614. 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 Lp can be contacted via phone (251) 661-5404, or through Weishaar, Matthew J. via phone (615) 550-9459.

Contact Information

Primary practice address
4164 Halls Mill Rd Mobile AL 36693-5614
Phone: (251) 661-5404
Fax: (251) 661-5407
Website:
Map and Directions
Authorized official contact:
Name: Weishaar, Matthew J.
Phone: (615) 550-9459

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X N4907 Alabama

Profile Details

NPI number 1386631182
LBN Legal business name Diversicare Leasing Lp
DBA Doing business as <Unavail>
Authorized official Weishaar, Matthew J.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2005
Last updated Jan 19th, 2023 - about 3 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 1386631182 NPPES
Alabama MEDICAID 47-54270S

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