Canterbury Healthcare Facility

LBN: Diversicare Leasing Lp
Canterbury Healthcare Facility is an health care organization with primary practice located at 1720 Knowles Rd , Phenix City AL 36869-7135. 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 Leasing Lp can be contacted via phone (334) 291-0486, or through Weishaar, Matthew J. via phone (615) 771-7575.

Contact Information

Primary practice address
1720 Knowles Rd Phenix City AL 36869-7135
Phone: (334) 291-0486
Fax: (334) 297-5816
Website:
Map and Directions
Authorized official contact:
Name: Weishaar, Matthew J.
Phone: (615) 771-7575

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X N5704 Alabama

Profile Details

NPI number 1306833694
LBN Legal business name Diversicare Leasing Lp
DBA Doing business as Canterbury Healthcare Facility
Authorized official Weishaar, Matthew J.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2005
Last updated Oct 25th, 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 1306833694 NPPES
Alabama MEDICAID 47-57740S

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