DIVERSICARE LEASING CORP. (NPI# 1538157649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538157649 |
Entity Type | Organization |
Organization Name | DIVERSICARE LEASING CORP. |
Other Organization Name | DIVERSICARE OF SMYRNA |
Practice Address |
200 Mayfield Dr Smyrna TN 37167-3019 |
Practice Telephone | 6153550350 |
Practice Fax Number | 6153555549 |
Mailing Telephone | 6153550350 |
Mailing Fax Number | 6153555549 |
Enumeration Date | 2005-10-12 |
Last Update Date | 2016-09-16 |
Authorized Official Name | KELLY J. GILL (CEO) |
Authorized Official Telephone | 6157717575 |
Is Organization Subpart | Y |
Parent Organization Name | ADVOCAT FINANCE INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 0000000218 | TN | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 744-0450 | 05 |
Other Name | Type Code |
---|---|
Diversicare of Smyrna | 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 |
1376531343 | Diversicare Leasing Corp. | Skilled Nursing Facility | 107 N Medina St, Lockhart, TX 78644-1919 | 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 |
200 MAYFIELD DR |
City | SMYRNA |
State | TN |
Zip Code | 37167-3019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497316541 | Edwena Chenelle Clark | Physical Therapy Assistant | 200 Mayfield Dr, Smyrna, TN 37167-3019 | 2019-06-27 |
1487103891 | Emily Loehrlein | Physical Therapist | 200 Mayfield Dr, Smyrna, TN 37167-3019 | 2016-09-26 |
1801249941 | Diversicare of Smyrna | Skilled Nursing Facility | 200 Mayfield Dr, Smyrna, TN 37167-3019 | 2016-07-13 |
1346607918 | Jennifer J Jackson | Speech-Language Pathologist | 200 Mayfield Dr, Smyrna, TN 37167-3019 | 2016-01-27 |
1366809030 | Katherine Westmoreland | Speech-Language Pathologist | 200 Mayfield Dr, Smyrna, TN 37167-3019 | 2016-01-26 |
1447503289 | Raymond Lee Roberts | Physical Therapy Assistant | 200 Mayfield Dr, Smyrna, TN 37167-3019 | 2012-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932708864 | Results-ast Jv, LLC | Physical Therapist | 741 Presidents Place, Suite 130, Smyrna, TN 37167 | 2020-10-21 |
1659834455 | Jemima Mensah | Nurse Practitioner | 433 Nissan Dr Ste 301, Smyrna, TN 37167 | 2019-04-09 |
1538645395 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 111 Movie Row, Smyrna, TN 37167 | 2018-07-16 |
1932699915 | Jessica Jones | Physical Therapist | 8414, 1173 Rock Springs Rd, Suite 105, Smyrna, TN 37167 | 2018-05-15 |
1962920256 | Faithful Horizons Support Services, Inc. | Respite Care | 204 Spirit Hill Circle, Smyrna, TN 37167 | 2017-09-06 |
1386185270 | Marie Murphy | Counselor | 695 President Place, Ste 202, Smyrna, TN 37167 | 2017-03-13 |
1932556990 | Tamara Tucker | Social Worker | 680 Windellwood Circle, Smyrna, TN 37167 | 2016-05-19 |
1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
1669840211 | Smyrna Modern Dentistry, PC | Dentist | 160 Movie Row, Smyrna, TN 37167 | 2015-09-11 |
1548636970 | Hometown Respiratory Consultants Inc | Durable Medical Equipment & Medical Supplies | 13181 Old Nashville Hwy Ste 120, Smyrna, TN 37167 | 2015-08-19 |
Find all providers in zip 37167 |
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 |
---|---|---|---|---|
1093343535 | Marie Carmelle Noel | Skilled Nursing Facility | 800 Sadie Ann Ct, Smyrna, TN 37167-3445 | 2020-03-30 |
1619320819 | Moving Forward Consultant Company | Skilled Nursing Facility | 3315 S Cobb Dr Se Unit 813642, Smyrna, GA 30081-3099 | 2016-07-22 |
1124081278 | Green Valley Snf LLC | Skilled Nursing Facility | 3034 S Dupont Blvd, Smyrna, DE 19977-1898 | 2006-04-10 |
1194711606 | Delmar Gardens of Smyrna, LLC | Skilled Nursing Facility | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | 2005-09-21 |
1982157434 | The Waters of Smyrna LLC | Skilled Nursing Facility | 202 Enon Springs Rd E, Smyrna, TN 37167-3011 | 2016-08-02 |
1801249941 | Diversicare of Smyrna | Skilled Nursing Facility | 200 Mayfield Dr, Smyrna, TN 37167-3019 | 2016-07-13 |
1942619010 | Speech Language Pathologist | Skilled Nursing Facility | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | 2014-08-04 |
1235309568 | Miguel E. Stubbs, M.d.p.c. | Skilled Nursing Facility | 3001 S Cobb Dr Se, Suite 103, Smyrna, GA 30080-7809 | 2008-03-03 |
1063697092 | Green Valley Snf LLC | Skilled Nursing Facility | 3034 S Dupont Blvd, Smyrna, DE 19977-1898 | 2008-01-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396308508 | Decatur Operating Group LLC | Skilled Nursing Facility | 332 River Rd, Decatur, TN 37322-7800 | 2019-04-15 |
1760940613 | Marble City Medical LLC | Skilled Nursing Facility | 7500 Dodson Rd, Knoxville, TN 37920-9734 | 2019-03-11 |
1083132641 | Decatur Healthcare, LLC | Skilled Nursing Facility | 322 River Road, Decatur, TN 38322 | 2017-09-05 |
1285155705 | Stones River Manor, Inc. | Skilled Nursing Facility | 205 Haynes Dr, Murfreesboro, TN 37129-5101 | 2017-07-06 |
1821538562 | Red Bank Operations, LLC | Skilled Nursing Facility | 1020 Runyan Drive, Chattanooga, TN 37405 | 2017-02-28 |
1316482458 | East Ridge Snf Operations, LLC | Skilled Nursing Facility | 1502 Mcdonald Rd., East Ridge, TN 37412 | 2016-12-28 |
1639625254 | Emerald Spring Hill, Inc. | Skilled Nursing Facility | 2000 Reserve Boulevard, Spring Hill, TN 37174-2370 | 2016-09-01 |
1245786482 | Nhc-maury Regional Transitional Care Center LLC | Skilled Nursing Facility | 5010 Trotwood Ave, Columbia, TN 38401-4903 | 2016-08-28 |
1457805186 | Barton Blazer Smith | Skilled Nursing Facility | 210 Busbee Rd, Knoxville, TN 37920-5104 | 2016-08-11 |
1114379997 | Karson Taylor Melton | Skilled Nursing Facility | 179 County Road 61, Riceville, TN 37370-5451 | 2016-07-06 |
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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.