Diversicare Of St. Joseph

LBN: Diversicare Of St. Joseph, Llc
Diversicare Of St. Joseph is an health care organization with primary practice located at 3002 N 18Th St , Saint Joseph MO 64505-1872. 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 St. Joseph, Llc can be contacted via phone (816) 364-4200, or through Weishaar, Matthew J via phone (615) 550-9459.

Contact Information

Primary practice address
3002 N 18Th St Saint Joseph MO 64505-1872
Phone: (816) 364-4200
Fax: (816) 364-4283
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 042463 Missouri

Profile Details

NPI number 1831504521
LBN Legal business name Diversicare Of St. Joseph, Llc
DBA Doing business as Diversicare Of St. Joseph
Authorized official Weishaar, Matthew J
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 22nd, 2014
Last updated Oct 21st, 2022 - 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 1831504521 NPPES
Missouri MEDICAID 1831504521

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