Diversicare Of Smyrna

LBN: Diversicare Leasing Lp
Diversicare Of Smyrna is an health care organization with primary practice located at 200 Mayfield Dr , Smyrna TN 37167-3019. 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 (615) 355-0350, or through Weishaar, Matthew J. via phone (615) 550-9459.

Contact Information

Primary practice address
200 Mayfield Dr Smyrna TN 37167-3019
Phone: (615) 355-0350
Fax: (615) 355-5549
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 0000000218 Tennessee

Profile Details

NPI number 1538157649
LBN Legal business name Diversicare Leasing Lp
DBA Doing business as Diversicare Of Smyrna
Authorized official Weishaar, Matthew J.
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 12th, 2005
Last updated Jan 19th, 2023 - about 2 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 1538157649 NPPES
Tennessee MEDICAID 744-0450

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