Diversicare Clinton, LLC
Organization Active NPI Skilled Nursing Facility · Clinton, KY
NPI 1104184787 · NPPES record last updated May 2, 2012
Key facts
- NPI
- 1104184787
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- DIVERSICARE CLINTON, LLC
- Practice address
- 106 Padgett Dr
Clinton, KY 42031-1313 - Phone
- (270) 653-5558
- Fax
- (270) 653-5522
- NPI assigned
- May 2, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVOCAT INC.
Authorized official
- Name
- Kelly J Gill
- Title
- President & Ceo
- Phone
- (615) 771-7575
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
106 Padgett Dr
Clinton, KY 42031-1313
Mailing address
106 Padgett Dr
Clinton, KY 42031-1313
Phone (270) 653-5558
Other names
- Arbor Place of Clinton
Other providers in Clinton, KY
- Clinton Dental Clinic,Inc.
- Clinton Pharmacy LLC
- Clinton Pharmacy LLC
- Clinton-Hickman County Ambulance Service Inc
- Communtiy Healthcare of Western Kentucky LLC
- Giaimo Mobile Podiatry PLLC
- Stephannie Lorene Goodrum
- Whitney Nicole Gordon
- Gretchen Anne Hayden
- Hickman County Board of Education
All providers in Clinton, KY · Skilled Nursing Facility in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.