DIVERSICARE LEASING CORP. (NPI# 1376531343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376531343 |
| Entity Type | Organization |
| Organization Name | DIVERSICARE LEASING CORP. |
| Other Organization Name | CHISOLM TRAIL NURSING & REHABILITATION CENTER |
| Practice Address |
107 N Medina St Lockhart TX 78644-1919 |
| Practice Telephone | 5123985213 |
| Practice Fax Number | 5123766880 |
| Mailing Telephone | 5123985213 |
| Mailing Fax Number | 5123766880 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RAYMOND L. TYLER JR. (EXECUTIVE VICE PRESIDENT AND COO) |
| Authorized Official Telephone | 6157717575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 115093 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 4891 | 05 |
| Other Name | Type Code |
|---|---|
| Chisolm Trail Nursing & Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154310431 | Diversicare Leasing Corp. | Skilled Nursing Facility | Houston Highway, Luling, TX 78648-0230 | 2005-10-19 |
| 1407845068 | Diversicare Leasing Corp. | Skilled Nursing Facility | 670 W 4th St, Yorktown, TX 78164-5092 | 2005-10-17 |
| 1154310712 | Diversicare Leasing Corp. | Skilled Nursing Facility | 611 N Broad St, Lampasas, TX 76550-1105 | 2005-10-17 |
| 1548258676 | Diversicare Leasing Corp. | Skilled Nursing Facility | 537 Spring St, Dover, TN 37058-3232 | 2005-10-12 |
| 1538157649 | Diversicare Leasing Corp. | Skilled Nursing Facility | 200 Mayfield Dr, Smyrna, TN 37167-3019 | 2005-10-12 |
| 1124016241 | Diversicare Leasing Corp. | Skilled Nursing Facility | 902 Buchanan Rd, New Tazewell, TN 37825-7410 | 2005-10-12 |
| 1538157664 | Diversicare Leasing Corp. | Skilled Nursing Facility | 158 Mount Pelia Rd, Martin, TN 38237-3812 | 2005-10-12 |
| 1780672873 | Diversicare Leasing Corp. | Skilled Nursing Facility | 2159 Dogwood Ridge Rd, Wheelersburg, OH 45694-9044 | 2005-10-12 |
| 1720076771 | Diversicare Leasing Corp. | Skilled Nursing Facility | Rte 32 E Howard Creek Rd, Sandy Hook, KY 41171 | 2005-10-12 |
| 1376531673 | Diversicare Leasing Corp. | Skilled Nursing Facility | 401 Orange Pl, Wauchula, FL 33873-3417 | 2005-10-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | DIVERSICARE LEASING CORP. | 1621 Galleria Boulevard, Brentwood, TN 37027 |
| Indiana Business Entities | DIVERSICARE LEASING CORP. | 1621 Galleria Blvd, Brentwood, TN 37027 |
| Street Address |
107 N MEDINA ST |
| City | LOCKHART |
| State | TX |
| Zip Code | 78644-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891152971 | Laurie Hanna | Physical Therapist | 107 N Medina St, Lockhart, TX 78644-1919 | 2016-01-20 |
| 1437191285 | Diversicare Chisolm, LLC | Skilled Nursing Facility | 107 N Medina St, Lockhart, TX 78644-1919 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966307 | Therese Werner | Social Worker | 896 Robin Ranch Rd., Lockhart, TX 78644 | 2019-11-12 |
| 1235604109 | Wendy H. Ramsey | Speech-Language Pathologist | 1635 Westwood Rd, Lockhart, TX 78644 | 2018-10-08 |
| 1114422664 | Lockhart Dental, Pllc | Dentist | 606 South Colorado St, Lockhart, TX 78644 | 2018-03-27 |
| 1265874499 | River Rock Dental - Lockhart PC | Dentist | 1906 S. Colorado, Suite 110, Lockhart, TX 78644 | 2013-07-30 |
| 1194043976 | David Tong Chung Joe | Pharmacist | 19600 Fm 620 North, Round Rock, TX 78644 | 2010-05-04 |
| 1205163029 | Gail Gardner Livengood Dds, Pa | Dentist | 701 State Park Rd, Lockhart, TX 78644 | 2009-11-16 |
| 1417283086 | Texas Eye Associates | Optometrist | 1320 Colton Lane, Lockhart, TX 78644 | 2009-11-02 |
| 1760623656 | Quality Providers Home Care, Inc. | Home Health | 117 S. Main St., Lockhart, TX 78644 | 2009-03-23 |
| 1316128416 | Butler & Burns Ear Nose & Throat | Otolaryngology | 1005 W Old San Antonio, Lockhart, TX 78644 | 2007-11-16 |
| 1881782365 | Gail G Livengood | Dentist | 701 State Park Road, Lockhart, TX 78644 | 2006-10-10 |
| Find all providers in zip 78644 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063571222 | Golden Age Home | Skilled Nursing Facility | 1505 S Main St, Lockhart, TX 78644-3945 | 2006-12-06 |
| 1639482839 | Pinnacle Health Facilities Xix Lp | Skilled Nursing Facility | 1501 S Main St, Lockhart, TX 78644-3945 | 2010-07-16 |
| 1437191285 | Diversicare Chisolm, LLC | Skilled Nursing Facility | 107 N Medina St, Lockhart, TX 78644-1919 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1609473362 | Touchstone Strategies - Penitas, LLC | Skilled Nursing Facility | 414 Liberty Blvd., Penitas, TX 78576 | 2020-10-06 |
| 1649884313 | Springtown Ventures Lp | Skilled Nursing Facility | 201 Williams Ward Rd., Springtown, TX 76082 | 2020-09-01 |
| 1821601691 | Altamira Healthcare LLC | Skilled Nursing Facility | 200 Carla St, Zapata, TX 78076-3114 | 2020-08-31 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1972112464 | The Brixton At Horseshoe Bay | Skilled Nursing Facility | 15101 West Fm 2147, Horseshoe Bay, TX 78657 | 2020-07-30 |
| 1558984278 | Slp Johnson City LLC | Skilled Nursing Facility | 206 Haley Rd, Johnson City, TX 78636-4617 | 2020-05-28 |
| 1073136149 | Continuum Rehab Group | Skilled Nursing Facility | 3326 Burgoyne St # 1432, Dallas, TX 75233-1304 | 2020-05-24 |
| 1750904264 | Frank Villanueva | Skilled Nursing Facility | 711 W Broadway St, Denver City, TX 79323-3000 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.