Diversicare Of Pell City

LBN: Diversicare Of Pell City, Llc
Diversicare Of Pell City is an health care organization with primary practice located at 510 Wolf Creek Rd N , Pell City AL 35125-2477. 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 Of Pell City, Llc can be contacted via phone (205) 338-3329, or through Weishaar, Matthew J via phone (615) 550-9459.

Contact Information

Primary practice address
510 Wolf Creek Rd N Pell City AL 35125-2477
Phone: (205) 338-3329
Fax: (205) 338-1006
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 5804 Alabama

Profile Details

NPI number 1942755038
LBN Legal business name Diversicare Of Pell City, Llc
DBA Doing business as Diversicare Of Pell City
Authorized official Weishaar, Matthew J
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 18th, 2016
Last updated Apr 7th, 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 1942755038 NPPES
Alabama MEDICAID 199986

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