Diversicare Clinton, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DIVERSICARE CLINTON, LLC

Doing business as

Arbor Place of Clinton

Practice address

106 Padgett Dr
Clinton, KY 42031-1313

Phone

(270) 653-5558

Fax

(270) 653-5522

NPI assigned

May 2, 2012

Last updated

May 2, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

ADVOCAT INC.As reported in NPPES

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

Authorized official

Name

Kelly J Gill

Title

President & Ceo

Phone

(615) 771-7575

Specialties & licenses 1

Addresses

Other names 1

• Arbor Place of Clinton Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Diversicare Leasing LP

  dba Diversicare of Martin

  • Skilled Nursing Facility
  • Martin, TN
  • NPI 1538157664

  Member Of

  NPD member

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1104184787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PADGETT DR",
            "city": "CLINTON",
            "state": "KY",
            "postal_code": "420311313",
            "telephone_number": "270-653-5558",
            "fax_number": "270-653-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PADGETT DR",
            "city": "CLINTON",
            "state": "KY",
            "postal_code": "420311313",
            "telephone_number": "270-653-5558",
            "fax_number": "270-653-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSICARE CLINTON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCAT INC.",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "615-771-7575"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Place of Clinton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clinton Dental Clinic,Inc.
• Clinton Pharmacy LLC
• Clinton Pharmacy LLC (Clinton Pharmacy)
• Clinton-Hickman County Ambulance Service Inc
• Communtiy Healthcare of Western Kentucky LLC
• Giaimo Mobile Podiatry PLLC
• Stephannie Lorene Goodrum, APRN
• Whitney Nicole Gordon
• Gretchen Anne Hayden, DOCTOR OF PHARMACY
• Hickman County Board of Education

• Skilled Nursing Facility in Clinton, KY
• Providers in Clinton, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.