Diversicare Of Moss Point

LBN: Dac Of Moss Point, Llc
Diversicare Of Moss Point is an health care organization with primary practice located at 3401 Main St , Moss Point MS 39563-5101. 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. Dac Of Moss Point, Llc can be contacted via phone (228) 762-7451, or through Weishaar, Matthew J. via phone (615) 550-9459.

Contact Information

Primary practice address
3401 Main St Moss Point MS 39563-5101
Phone: (228) 762-7451
Fax: (228) 769-2294
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

Profile Details

NPI number 1427708338
LBN Legal business name Dac Of Moss Point, Llc
DBA Doing business as Diversicare Of Moss Point
Authorized official Weishaar, Matthew J.
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 24th, 2022
Last updated Apr 7th, 2023 - about last year

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 1427708338 NPPES
Mississippi Other 25-5174 MEDICARE - SNF

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