Diversicare Of Fulton

LBN: Diversicare Of Fulton, Llc
Diversicare Of Fulton is an health care organization with primary practice located at 1004 Holiday Ln , Fulton KY 42041-8458. 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 Fulton, Llc can be contacted via phone (270) 472-1971, or through Gill, Kelly J via phone (615) 771-7575.

Contact Information

Primary practice address
1004 Holiday Ln Fulton KY 42041-8458
Phone: (270) 472-1971
Fax: (270) 472-3375
Website:
Map and Directions
Authorized official contact:
Name: Gill, Kelly J
Phone: (615) 771-7575

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100132 Kentucky

Profile Details

NPI number 1306218839
LBN Legal business name Diversicare Of Fulton, Llc
DBA Doing business as Diversicare Of Fulton
Authorized official Gill, Kelly J
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 23rd, 2015
Last updated May 1st, 2016 - about 8 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 1306218839 NPPES
Kentucky MEDICAID 7100395670

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