Park Place

LBN: Diversicare Of Selma, Llc
Park Place is an health care organization with primary practice located at 100 Park Pl , Selma AL 36701. 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 Selma, Llc can be contacted via phone (334) 872-3471, or through Weishaar, Matthew J via phone (615) 550-9459.

Contact Information

Primary practice address
100 Park Pl Selma AL 36701
Phone: (334) 872-3471
Fax: (334) 872-8923
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 N2402 Alabama

Profile Details

NPI number 1265973457
LBN Legal business name Diversicare Of Selma, Llc
DBA Doing business as Park Place
Authorized official Weishaar, Matthew J
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 20th, 2017
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 1265973457 NPPES
Alabama MEDICAID 206565

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