DIVERSICARE LEASING CORP. (NPI# 1780672360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780672360 |
| Entity Type | Organization |
| Organization Name | DIVERSICARE LEASING CORP. |
| Other Organization Name | POCAHONTAS NURSING AND REHABILITATION CENTER |
| Practice Address |
105 Country Club Rd Pocahontas AR 72455-1364 |
| Practice Telephone | 8708922523 |
| Practice Fax Number | 8702480378 |
| Mailing Telephone | 8708922523 |
| Mailing Fax Number | 8702480378 |
| Enumeration Date | 2005-10-08 |
| 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 | 543 | AR | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Pocahontas Nursing and 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 |
| 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 |
| Street Address |
105 COUNTRY CLUB RD |
| City | POCAHONTAS |
| State | AR |
| Zip Code | 72455-1364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891179560 | Randolph Snf Operations LLC | Skilled Nursing Facility | 105 Country Club Rd, Pocahontas, AR 72455-1364 | 2015-07-13 |
| 1508299009 | Randolph Operations, LLC | Skilled Nursing Facility | 105 Country Club Rd, Pocahontas, AR 72455-1364 | 2013-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043694920 | Puckett Dental LLC | Clinic/Center | 1041 Highway 67 North, Pocahontas, AR 72455 | 2015-07-10 |
| 1659676443 | Higginbotham Therapy Providers LLC | Speech-Language Pathologist | 42 Helter Rd, Pocahontas, AR 72455 | 2011-01-25 |
| 1083846059 | Amber Dawn Hudson | Speech-Language Pathologist | 84 Woodland Hill Circle, Pocahontas, AR 72455 | 2009-08-10 |
| 1174752125 | Sara Jocelyn Hubbell | Developmental Therapist | 410 Camp Road, Pocahontas, AR 72455 | 2009-07-13 |
| 1730332511 | Holly T Brigance | Nurse Practitioner | 2901 Medical Center Drive, Pocahontas, AR 72455 | 2008-10-24 |
| 1255598983 | Ashley Erin Taylor | Registered Nurse | 2018 Highway 67 S, Pocahontas, AR 72455 | 2008-05-20 |
| 1740405661 | Leslie Marie Malone | Speech-Language Pathologist | 2300 North Park St., Pocahontas, AR 72455 | 2007-04-16 |
| 1942354808 | D Mike Mcdaniel | Audiologist | 153 Country Club Road, Pocahontas, AR 72455 | 2007-01-22 |
| 1366518615 | University of Arkansas for Medical Sciences | Pediatrics | 300 Camp Rd, Pocahontas, AR 72455 | 2006-11-28 |
| 1275623035 | Families, Inc. of Arkansas | Counselor | 2305 Old County Road, Pocahontas, AR 72455 | 2006-10-13 |
| Find all providers in zip 72455 | ||||
| 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 |
|---|---|---|---|---|
| 1750435426 | Randolph County Nursing Home | Skilled Nursing Facility | 500 Camp Rd, Pocahontas, AR 72455-1496 | 2007-01-22 |
| 1891179560 | Randolph Snf Operations LLC | Skilled Nursing Facility | 105 Country Club Rd, Pocahontas, AR 72455-1364 | 2015-07-13 |
| 1508299009 | Randolph Operations, LLC | Skilled Nursing Facility | 105 Country Club Rd, Pocahontas, AR 72455-1364 | 2013-08-20 |
| 1336497304 | Jp Manor LLC | Skilled Nursing Facility | 700 Nw 7th St, Pocahontas, IA 50574-2206 | 2012-08-24 |
| 1598735771 | Pocahontas Manor Corporation | Skilled Nursing Facility | 700 Nw 7th St, Pocahontas, IA 50574-2206 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558904979 | Ola Ops, Inc. | Skilled Nursing Facility | 502 W Pennington St, Ola, AR 72853-8851 | 2019-10-18 |
| 1831746676 | Cwnc Ops Inc | Skilled Nursing Facility | 1393 E Don Tyson Pkwy, Springdale, AR 72764-7882 | 2019-08-26 |
| 1881256493 | Bayshore, LLC | Skilled Nursing Facility | 260 Lakepark Dr, Hot Springs, AR 71901-9260 | 2019-07-03 |
| 1508322249 | Superior Health & Rehab LLC | Skilled Nursing Facility | 625 Tommy Lewis Dr, Conway, AR 72032-7006 | 2019-02-19 |
| 1447733480 | Chc Lakeside Nursing Center, LLC | Skilled Nursing Facility | 1207 Willow Run St, Lake City, AR 72437-9520 | 2018-09-14 |
| 1811470784 | Ltc of Berryville, LLC | Skilled Nursing Facility | 500 Hammond Avenue, Berryville, AR 72616 | 2018-09-07 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1386140341 | Three Rivers Nursing and Rehabilitation LLC | Skilled Nursing Facility | 33904 Highway 63 E, Marked Tree, AR 72365-9521 | 2018-03-30 |
| 1093244097 | Salco Nc 2, Inc. | Skilled Nursing Facility | 6420 Alcoa Rd, Benton, AR 72015-6315 | 2017-06-05 |
| 1184168072 | Dierks Healthcare & Rehabilitation Center LLC | Skilled Nursing Facility | 402 S Arkansas Ave, Dierks, AR 71833-9001 | 2016-12-12 |
| Find all providers with the same taxonomy | ||||
| City | POCAHONTAS |
| Zip Code | 72455 |
Please comment or provide details below to improve the information on DIVERSICARE LEASING CORP..
| 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.