DIVERSICARE LEASING CORP. (NPI# 1548258676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548258676 |
| Entity Type | Organization |
| Organization Name | DIVERSICARE LEASING CORP. |
| Other Organization Name | DIVERSICARE OF DOVER |
| Practice Address |
537 Spring St Dover TN 37058-3232 |
| Practice Telephone | 9312326902 |
| Practice Fax Number | 9312324256 |
| Mailing Telephone | 9312326902 |
| Mailing Fax Number | 9312324256 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2016-08-30 |
| 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 | 0000000306 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 744-0452 | 05 |
| Other Name | Type Code |
|---|---|
| Diversicare of Dover | 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 |
| 1376531343 | Diversicare Leasing Corp. | Skilled Nursing Facility | 107 N Medina St, Lockhart, TX 78644-1919 | 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 |
537 SPRING ST |
| City | DOVER |
| State | TN |
| Zip Code | 37058-3232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508375783 | Leah Mitchell | Physical Therapist | 537 Spring St, Dover, TN 37058-3232 | 2017-09-20 |
| 1558720003 | Norma Jean Sluder | Speech-Language Pathologist | 537 Spring St, Dover, TN 37058-3232 | 2016-02-12 |
| 1629435334 | William Kyle Cochrane | Physical Therapist | 537 Spring St, Dover, TN 37058-3232 | 2016-01-26 |
| 1598122327 | Stacy Reames | Speech-Language Pathologist | 537 Spring St, Dover, TN 37058-3232 | 2016-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023474681 | Rebecca Cravens | Nurse Practitioner | 1511 Donelson Parkway, Dover, TN 37058 | 2016-01-12 |
| 1487894028 | Joselito A Pasaol | Physical Therapist | 402 C Church Street, Dover, TN 37058 | 2009-02-23 |
| 1588809461 | Lakeway Physical Therapy Outpatient, Pllc | Clinic/Center | 402-c Church St., Dover, TN 37058 | 2008-12-08 |
| 1225212350 | Dana M. Earhart | Licensed Practical Nurse | 723 Spring Street, Attn. Dana Earhart, School Nurse, Dover, TN 37058 | 2007-12-26 |
| 1437333614 | Tammy Lagan | Occupational Therapist | 949 Hwy 79, Dover, TN 37058 | 2007-12-24 |
| 1649390956 | Beverly Lynn Lewis | Audiologist | Lewis Hearing Services, 407 A Hwy. 79, Dover, TN 37058 | 2007-03-30 |
| 1689640898 | Price Edwin Hopson Jr. | Dentist | 1021 Spring St, Dover, TN 37058 | 2006-02-27 |
| 1154801207 | Crystal Lynn Shaw | Nurse Practitioner | 1511 Donelson Pkwy, Dover, TN 37058 | 2018-08-17 |
| 1235630112 | Elizabeth Amelia Estock | Registered Nurse | 1021 Spring St, Dover, TN 37058 | 2018-02-26 |
| 1740793736 | Mei-suey Chen | Internal Medicine | 314 Cedar St, Dover, TN 37058 | 2017-11-13 |
| Find all providers in zip 37058 | ||||
| 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 |
|---|---|---|---|---|
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1083796734 | Courtland Manor Inc. | Skilled Nursing Facility | 889 S Little Creek Rd, Dover, DE 19901-4721 | 2006-10-20 |
| 1821178427 | Country Club Center Homes, Inc | Skilled Nursing Facility | 860 E Iron Ave, Dover, OH 44622-2031 | 2006-10-17 |
| 1114018645 | Professional Service Group LLC | Skilled Nursing Facility | 9 E Loockerman St Ste 3a, Dover, DE 19901-7316 | 2006-09-28 |
| 1467497834 | Dover Health Care Associates Inc | Skilled Nursing Facility | 1080 Silver Lake Blvd, Dover, DE 19904-2410 | 2006-06-18 |
| 1033106968 | Saint Clare's Hospital Inc. | Skilled Nursing Facility | 400 W Blackwell St, Dover, NJ 07801-2525 | 2005-10-05 |
| 1750375473 | Park Village Health Care Center Inc | Skilled Nursing Facility | 1525 N Crater Ave, Dover, OH 44622-9558 | 2005-09-08 |
| 1306830625 | Presbyterian Homes Inc. | Skilled Nursing Facility | 1175 Mckee Rd, Dover, DE 19904-2268 | 2005-09-01 |
| 1841294832 | New Dawn Health Care Inc | Skilled Nursing Facility | 865 E Iron Ave, Dover, OH 44622-2099 | 2005-06-08 |
| 1932755626 | New Dawn Nursing | Skilled Nursing Facility | 865 E Iron Ave, Dover, OH 44622-2099 | 2019-08-18 |
| Find all providers in DOVER | ||||
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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.