DIVERSICARE LEASING CORP. (NPI# 1770571408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770571408 |
| Entity Type | Organization |
| Organization Name | DIVERSICARE LEASING CORP. |
| Other Organization Name | LYNWOOD NURSING HOME |
| Practice Address |
700 Hutchins Ave Gadsden AL 35901-1876 |
| Practice Telephone | 2565437101 |
| Practice Fax Number | 2565432367 |
| Mailing Telephone | 2565437101 |
| Mailing Fax Number | 2565432367 |
| Enumeration Date | 2005-10-06 |
| 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 | N2806 | AL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 47-56200S | 05 |
| Other Name | Type Code |
|---|---|
| Lynwood Nursing Home | 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 |
| 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 |
| 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 |
700 HUTCHINS AVE |
| City | GADSDEN |
| State | AL |
| Zip Code | 35901-1876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891152500 | Jennifer Roland | Speech-Language Pathologist | 700 Hutchins Ave, Gadsden, AL 35901-1876 | 2016-01-26 |
| 1679930986 | Diversicare Rehabilitation Services | Speech-Language Pathologist | 700 Hutchins Ave, Gadsden, AL 35901-1876 | 2016-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112878 | Rachel Hyatt | Counselor | 423 North 5th St, Gadsden, AL 35901 | 2020-07-27 |
| 1639651300 | Amy M Gorecki-kelley | Nurse Practitioner | 420 North Sixth Street Gadsden, Gadsden, AL 35901 | 2018-08-30 |
| 1659881829 | Fuller Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 412 S 3rd St Ste A, Gadsden, AL 35901 | 2017-10-02 |
| 1861901308 | Dana Calhoun | Counselor | 215 Walnut St Ste 2, Gadsden, AL 35901 | 2017-09-27 |
| 1104271857 | Prohealth Hospice-gadsden, LLC | Hospice Care, Community Based | 1115b Rainbow Drive, Gadsden, AL 35901 | 2016-05-02 |
| 1568801678 | Roseland Developmental Homes, LLC | Community/Behavioral Health | 404 Jacksonville Street, Gadsden, AL 35901 | 2013-06-21 |
| 1770875460 | Aniska Professional and Educational Services | Clinic/Center | 130 Aniska Drive, Gadsden, AL 35901 | 2011-05-12 |
| 1700186772 | Sam P. Spina | Hearing Instrument Specialist | 510 S. 3rd Street, Gadsden, AL 35901 | 2010-10-25 |
| 1588982573 | John Robert Walker | Anesthesiology | 200 Broad St Ste 300, Gadsden, AL 35901 | 2010-05-14 |
| 1316278880 | Partners Medical Clinic LLC | Family Medicine | 431 South 5th Street, Gadsden, AL 35901 | 2010-01-24 |
| Find all providers in zip 35901 | ||||
| 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 |
|---|---|---|---|---|
| 1801817044 | U S Health Care, LLC | Skilled Nursing Facility | 1945 Davis Dr, Gadsden, AL 35904-3276 | 2006-07-22 |
| 1194764068 | Coastal Health Care, Inc | Skilled Nursing Facility | 607 S 3rd St, Gadsden, AL 35901-5303 | 2006-06-06 |
| 1316945975 | Mcguffey Healthcare L.l.c | Skilled Nursing Facility | 2301 Rainbow Dr, Gadsden, AL 35901-5517 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790268068 | Goodwater Healthcare Center | Skilled Nursing Facility | 16 Jones Hill Rd, Goodwater, AL 35072-9463 | 2018-09-12 |
| 1124574843 | Hair To Go | Skilled Nursing Facility | 4097 Somerset Ridge, Birmingham, AL 35242 | 2016-09-01 |
| 1679027841 | Aspire Physical Recovery Center At Cahaba River, LLC | Skilled Nursing Facility | 3070 Healthy Way, Vestavia, AL 35243 | 2016-08-05 |
| 1851785844 | Selena Duff | Skilled Nursing Facility | 2830 Phillips St, Florence, AL 35633-1525 | 2015-03-27 |
| 1285038398 | Aspire Physical Recovery Center At Hoover, LLC | Skilled Nursing Facility | 575 Southland Dr, Hoover, AL 35226-3732 | 2014-10-17 |
| 1417360819 | Katrina Lovill | Skilled Nursing Facility | 1716 Ballard Dr Se, Huntsville, AL 35801-1619 | 2014-06-04 |
| 1023440153 | Ridgewood Health Services, Inc. | Skilled Nursing Facility | 201 Oakhill Rd, Jasper, AL 35504-7496 | 2013-07-31 |
| 1366700528 | Bkd Alabama Snf LLC | Skilled Nursing Facility | 501 University Park Drive, Birmingham, AL 35209-6738 | 2012-04-25 |
| 1225347495 | Montgomery Children's Specialty Center, LLC | Skilled Nursing Facility | 2853 Forbes, Montgomery, AL 36110-1307 | 2010-10-05 |
| 1407081557 | Stacie Peek Wilson | Skilled Nursing Facility | 2701 Meridian Street North, Huntsville, AL 35811 | 2009-05-19 |
| 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.