Diversicare Of Brookhaven

LBN: Diversicare Of Brookhaven, Llc
Diversicare Of Brookhaven is an health care organization with primary practice located at 519 Brookman Dr , Brookhaven MS 39601-2326. 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 Brookhaven, Llc can be contacted via phone (601) 833-2881, or through Weishaar, Matthew J via phone (615) 550-9459.

Contact Information

Primary practice address
519 Brookman Dr Brookhaven MS 39601-2326
Phone: (601) 833-2881
Fax: (601) 833-2360
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 377 Mississippi

Profile Details

NPI number 1831644822
LBN Legal business name Diversicare Of Brookhaven, Llc
DBA Doing business as Diversicare Of Brookhaven
Authorized official Weishaar, Matthew J
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 18th, 2016
Last updated Apr 7th, 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 1831644822 NPPES
Mississippi MEDICAID 00023021

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