Diversicare of Tylertown, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

390 Issued in MS

Legal business name

DIVERSICARE OF TYLERTOWN, LLC

Practice address

200 Medical Cir
Tylertown, MS 39667-2069

Phone

(601) 876-2107

Fax

(601) 876-5990

NPI assigned

Aug 18, 2016

Organization subpart

Yes

Parent organization

DIVERSICARE LEASING COMPANY III, LLCAs reported in NPPES

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

Addresses

Other identifiers 1

Other names 1

• Diversicare of Tylertown Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Skilled nursing facility certification: CCN 255100

Legal name

DIVERSICARE OF TYLERTOWN LLC

Doing business as

DIVERSICARE OF TYLERTOWN

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1989

Last certification

Sep 5, 2024

Beds

60

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Diversicare Healthcare Services, LLC

Organization structure

LLCProprietary

Incorporated

Jul 1, 2016 in DE

Enrollment address

200 Medical Cir
Tylertown, MS 39667-2069

Nursing home name

DIVERSICARE OF TYLERTOWN

Affiliated entity

DIVERSICARE HEALTHCARE

Listed as

Diversicare of TylertownCCN 255100

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 1, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6049.3 residents per day on average

Chain

Diversicare Healthcare44 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Locations

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.

Facilities with the same owner 42

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

• Dac of Moss Point, LLC

  • Skilled Nursing Facility
  • Moss Point, MS
  • NPI 1427708338

  Dac Acquisition LLC, Diversicare Management Services LP.

  CMS ownership
• Dac of Quitman, LLC

  • Skilled Nursing Facility
  • Quitman, MS
  • NPI 1477203396

  Dac Acquisition LLC

  CMS ownership
• Dac of Shelby, LLC

  • Skilled Nursing Facility
  • Shelby, MS
  • NPI 1497405328

  Dac Acquisition LLC

  CMS ownership
• Diversicare of Amory, LLC

  • Skilled Nursing Facility
  • Amory, MS
  • NPI 1750836748

  Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Leasing Company III LLC, Diversicare Management Services LP.

  CMS ownership
• Diversicare of Batesville, LLC

  • Skilled Nursing Facility
  • Batesville, MS
  • NPI 1578018560

  Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Leasing Company III LLC, Diversicare Management Services LP.

  CMS ownership
• Diversicare of Brookhaven, LLC

  • Skilled Nursing Facility
  • Brookhaven, MS
  • NPI 1831644822

  Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Leasing Company III LLC, Diversicare Management Services LP.

  CMS ownership
• Diversicare of Eupora, LLC

  • Skilled Nursing Facility
  • Eupora, MS
  • NPI 1558816546

  Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Leasing Company III LLC, Diversicare Management Services LP.

  CMS ownership
• Diversicare of Meridian, LLC

  • Skilled Nursing Facility
  • Meridian, MS
  • NPI 1639624620

  Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Leasing Company III LLC, Diversicare Management Services LP.

  CMS ownership
• Diversicare of Ripley, LLC

  • Skilled Nursing Facility
  • Ripley, MS
  • NPI 1457806440

  Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Leasing Company III LLC, Diversicare Management Services LP.

  CMS ownership
• Diversicare of Southaven, LLC

  • Skilled Nursing Facility
  • Southaven, MS
  • NPI 1801341896

  Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Leasing Company III LLC, Diversicare Management Services LP.

  CMS ownership
• Diversicare of Tupelo, LLC

  • Skilled Nursing Facility
  • Tupelo, MS
  • NPI 1447705439

  Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Leasing Company III LLC, Diversicare Management Services LP.

  CMS ownership
• Alabaster Opco, LLC

  • Skilled Nursing Facility
  • Alabaster, AL
  • NPI 1801553185

  Diversicare Management Services LP.

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla Mitchell Armstrong, M.D.

  • Legal Medicine
  • Tylertown, MS
  • NPI 1346238359
  NPD (past)
• Lucius M. Lampton, M.D.

  • Family Medicine Physician
  • Magnolia, MS
  • NPI 1689781007
  NPD (past)

Affiliated clinicians 1

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

• Carla Mitchell Armstrong, M.D.

  • Legal Medicine
  • Tylertown, MS
  • NPI 1346238359

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1083169072",
    "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": "200 MEDICAL CIR",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672069",
            "telephone_number": "601-876-2107",
            "fax_number": "601-876-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSICARE OF TYLERTOWN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVERSICARE LEASING COMPANY III, LLC",
        "enumeration_date": "2016-08-18",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "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": "MS",
            "license": "390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00023146",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversicare of Tylertown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diversicare of Tylertown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Tylertown, MS
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.