Organization Active NPI

Diversicare of Arab, LLC

Doing business as Diversicare of Arab

  • Skilled Nursing Facility
  • Arab, AL
National Provider Identifier
1124573498
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 ARAB, LLC
Doing business as
Diversicare of Arab
Practice address
235 3Rd St SE
Arab, AL 35016-1477
Phone
(256) 586-3111
Fax
(256) 586-1967
NPI assigned
Aug 16, 2016
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DIVERSICARE HEALTHCARE SERVICES 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) 771-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X AL Primary

Addresses

Primary practice location

235 3Rd St SE
Arab, AL 35016-1477

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
199951MedicaidAL

Other names 1

  • Diversicare of Arab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170111002988 AL Part A Provider - Skilled Nursing Facility 5496036154 Practice locations: Arab, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124573498. Details of each certification follow.

Skilled nursing facility certification: CCN 015148

Legal name
DIVERSICARE OF ARAB LLC
Doing business as
DIVERSICARE OF ARAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1977
Last certification
Apr 15, 2021
Beds
87
Ownership / control type
Limited Liability Corporation
Multi-facility organization
DIVERSICARE
Most recent change of ownership
Nov 1, 2016
Organization structure
LLCProprietary
Incorporated
Jul 1, 2016 in DE
Enrollment address
235 3Rd St SE
Arab, AL 35016-1477
Nursing home name
DIVERSICARE OF ARAB
Affiliated entity
DIVERSICARE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Diversicare of ArabCCN 015148 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8783.3 residents per day on average
Chain
Diversicare Healthcare44 facilities in the chain

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
01D0674175Diversicare of Arab235 3Rd Street SE, Arab, AL 35016Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

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
Mandy Shaddrix Individual W-2 Managing EmployeeAd; Feb 5, 2024
Stephen Michael Nee Individual Corporate OfficerChief Executive Officer Feb 20, 2023
DMS GP LLC Organization, Brentwood, TN LLC General Partnership Interest Apr 4, 2022 1%
Diversicare Management Services LP. Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2016 100%
Eran Ratner Individual Corporate OfficerPresident Sep 13, 2024
Corporate DirectorBoard Member Nov 19, 2021
Operational/Managerial ControlManaging Member Sep 13, 2024
Matthew J Weishaar Individual Corporate OfficerCfo and Secretary Dec 1, 2003
Diversicare Healthcare Services LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest May 10, 1994 100%
Limited Partnership Interest Apr 4, 2022 99%
Dac Acquisition LLC Organization, Lynbrook, NY LLC 5% Or Greater Indirect Ownership Interest Nov 19, 2021 100%
Diversicare of Arab LLC Organization, Arab, AL LLC, For-profit Other Nov 1, 2016
Brian Kohn Individual Corporate DirectorBoard Member Nov 19, 2021
Dac Newcorp Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Apr 4, 2022 100%
Rebecca B Bodie Individual Corporate OfficerEvp and Chief Operating Officer Mar 2, 2020
Diversicare Leasing Company III LLC Organization, Brentwood, TN Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2016 100%
Advocat Finance, LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Jul 1, 2016 100%

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 1

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": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1124573498",
    "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": "235 3RD ST SE",
            "city": "ARAB",
            "state": "AL",
            "postal_code": "350161477",
            "telephone_number": "256-586-3111",
            "fax_number": "256-586-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSICARE OF ARAB, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVERSICARE HEALTHCARE SERVICES LLC",
        "enumeration_date": "2016-08-16",
        "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": "615-771-7575"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199951",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversicare of Arab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diversicare of Arab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arab, AL

Sources for this page

Verify at the official NPI Registry.