Organization Active NPI

Diversicare of Haysville LLC

Doing business as Diversicare of Haysville

  • Skilled Nursing Facility
  • Haysville, KS
National Provider Identifier
1043551815
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DIVERSICARE OF HAYSVILLE LLC
Doing business as
Diversicare of Haysville
Practice address
215 N Lamar Ave
Haysville, KS 67060-1266
Phone
(316) 524-3211
Fax
(316) 524-7470
NPI assigned
Mar 4, 2013
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DIVERSICARE KANSAS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew J Weishaar
Title
Chief Financial Officer & Secretary
Phone
(615) 550-9459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

215 N Lamar Ave
Haysville, KS 67060-1266

Mailing address

730 Cool Springs Blvd Ste 200
Franklin, TN 37067-7290
Phone (615) 550-9453

Other names 1

  • Diversicare of Haysville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130611000765 KS Part A Provider - Skilled Nursing Facility 9830338458 Practice locations: Haysville, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043551815. Details of each certification follow.

Skilled nursing facility certification: CCN 175133

Legal name
DIVERSICARE OF HAYSVILLE LLC
Doing business as
DIVERSICARE OF HAYSVILLE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 12, 1984
Last certification
Mar 12, 2025
Beds
119
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Diversicare Management Services Compan
Most recent change of ownership
Jan 1, 2005
Organization structure
LLCProprietary
Incorporated
Jan 29, 2013 in DE
Enrollment address
215 N Lamar Ave
Haysville, KS 67060-1266
Nursing home name
DIVERSICARE OF HAYSVILLE
Affiliated entity
DIVERSICARE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Diversicare of HaysvilleCCN 175133 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 12, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11983.0 residents per day on average
Chain
Diversicare Healthcare44 facilities in the chain
Penalties (3 years)
3Fines totaling $38,327

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0451065Diversicare of Haysville215 N Lamar, Haysville, KS 67060Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Diversicare of Haysville2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Franklin Scott Kellman Individual Corporate DirectorBoard Member Sep 13, 2024
Stephen Michael Nee Individual Corporate OfficerChief Executive Officer Feb 20, 2023
Diversicare Management Services LP. Organization, Brentwood, TN Management services company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 29, 2013 100%
Operational/Managerial Control May 1, 2013 100%
Eran Ratner Individual Corporate OfficerPresident Sep 13, 2024
Corporate DirectorBoard Member Nov 19, 2021
Matthew J Weishaar Individual Corporate OfficerCfo and Secretary Dec 1, 2003
Diversicare Kansas LLC Organization, Brentwood, TN LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 29, 2013 100%
Diversicare Healthcare Services LLC Organization, Brentwood, TN LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 4, 2022 99%
Dac Acquisition LLC Organization, Lynbrook, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 19, 2021 100%
Brian Kohn Individual Corporate DirectorBoard Member Nov 19, 2021
Isaiah R. Medina Individual W-2 Managing EmployeeAd; Apr 24, 2024
Adp of the SNF Nov 25, 2024
Diversicare Holding Company LLC Organization, Brentwood, TN LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 29, 2013 100%
Tamara L McCue Individual Contracted Managing EmployeeMD; Apr 1, 2021
Adp of the SNF Nov 25, 2024
Dac Newcorp Inc Organization, Brentwood, TN Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 4, 2022 100%
Rebecca B Bodie Individual Corporate OfficerEvp and Chief Operating Officer Mar 2, 2020
Advocat Finance, LLC Organization, Brentwood, TN LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 29, 2013 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 42

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 42

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1043551815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 COOL SPRINGS BLVD STE 200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677290",
            "telephone_number": "615-550-9453",
            "fax_number": "615-915-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N LAMAR AVE",
            "city": "HAYSVILLE",
            "state": "KS",
            "postal_code": "670601266",
            "telephone_number": "316-524-3211",
            "fax_number": "316-524-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSICARE OF HAYSVILLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVERSICARE KANSAS LLC",
        "enumeration_date": "2013-03-04",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "WEISHAAR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER & SECRETARY",
        "authorized_official_telephone_number": "615-550-9459"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversicare of Haysville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diversicare of Haysville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haysville, KS

Sources for this page

Verify at the official NPI Registry.