Diversicare Of Providence
LBN: Daviess County Hospital
Diversicare Of Providence is an health care organization with primary practice located at 4915 Charlestown Rd , New Albany IN 47150-9426. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Daviess County Hospital can be contacted via phone (812) 945-5221, or through Campbell, Brenda via phone (859) 255-0075.
Contact Information
Primary practice address
4915 Charlestown Rd
New Albany IN 47150-9426
Phone: (812) 945-5221
Fax: (812) 945-2614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 16-001144-1 | Indiana |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X |
Profile Details
| NPI number | 1841625662 |
|---|---|
| LBN Legal business name | Daviess County Hospital |
| DBA Doing business as | Diversicare Of Providence |
| Authorized official | Campbell, Brenda |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 11th, 2013 |
| Last updated | Jan 12th, 2024 - about 11 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841625662 | NPPES |
| Other | 1841625662 | UNITED HEALTHCARE | |
| MEDICAID | 200256980 | UNITED HEALTHCARE |
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