Active NPI
Diversicare of Hutchinson, LLC
Doing business as Diversicare of Hutchinson
- Skilled Nursing Facility
- Hutchinson, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- DIVERSICARE OF HUTCHINSON, LLC
- Doing business as
- Diversicare of Hutchinson
- Practice address
- 1202 E 23Rd Ave
Hutchinson, KS 67502-5656 - Phone
- (620) 669-9393
- Fax
- (620) 669-0817
- NPI assigned
- Nov 18, 2014
- Last updated
- Sep 3, 2026
- Organization subpart
- Yes
- Parent organization
- DIVERSICARE HEALTHCARE SERVICES, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
1202 E 23Rd Ave
Hutchinson, KS 67502-5656
Mailing address
730 Cool Springs Blvd Ste 200
Franklin, TN 37067-7290
Phone (615) 550-9453
Other names 1
- Diversicare of Hutchinson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150505002500 | KS | Part A Provider - Skilled Nursing Facility | 6608195128 | Practice locations: Hutchinson, KS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1164828174. Details of each certification follow.
Skilled nursing facility certification: CCN 175114
- Legal name
- DIVERSICARE OF HUTCHINSON LLC
- Doing business as
- DIVERSICARE OF HUTCHINSON
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 1, 1977
- Last certification
- Jan 30, 2025
- Beds
- 73
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Diversicare
- Most recent change of ownership
- Feb 1, 2015
- Organization structure
- LLC
- Incorporated
- Oct 17, 2014 in DE
- Enrollment address
- 1202 E 23Rd Ave
Hutchinson, KS 67502-5656 - Nursing home name
- DIVERSICARE OF HUTCHINSON
- Affiliated entity
- DIVERSICARE HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Diversicare of Hutchinson
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 1, 1977
- Medicare certification status
- Active
- Certified beds
- 73
- Chain
- Diversicare Healthcare
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0882111 | Diversicare of Hutchinson | Certificate of waiver | Jan 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
1621 Galleria Blvd
Brentwood, TN 37027
Phone (615) 771-7575
Ownership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Franklin Scott Kellman | Corporate Director | Sep 13, 2024 | |
| Renee Johnson | W-2 Managing Employee | Mar 27, 2023 | |
| Adp of the SNF | Nov 15, 2024 | ||
| Stephen Michael Nee | Corporate Officer | Feb 20, 2023 | |
| DMS GP LLC | General Partnership Interest | Apr 4, 2022 | 1% |
| Diversicare Management Services LP. | 5% Or Greater Indirect Ownership Interest | Dec 10, 1996 | 100% |
| Eran Ratner | Corporate Officer | Sep 13, 2024 | |
| Corporate Director | Nov 19, 2021 | ||
| Matthew J Weishaar | Corporate Officer | Dec 1, 2003 | |
| Diversicare Kansas LLC | 5% Or Greater Direct Ownership Interest | Oct 17, 2014 | 100% |
| Diversicare Healthcare Services LLC | Limited Partnership Interest | Apr 4, 2022 | 99% |
| Dac Acquisition LLC | 5% Or Greater Indirect Ownership Interest | Nov 19, 2021 | 100% |
| Brian Kohn | Corporate Director | Nov 19, 2021 | |
| Diversicare of Hutchinson LLC | Other | Feb 1, 2015 | 100% |
| Diversicare Holding Company LLC | 5% Or Greater Indirect Ownership Interest | Jan 29, 2013 | 100% |
| Dac Newcorp Inc | 5% Or Greater Indirect Ownership Interest | Apr 4, 2022 | 100% |
| Rebecca B Bodie | Corporate Officer | Mar 2, 2020 | |
| Advocat Finance, LLC | 5% Or Greater Indirect Ownership Interest | Nov 29, 2013 | 100% |
Facilities with the same owner 42
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Diversicare of Chanute
- Skilled Nursing Facility
- Chanute, KS
- NPI 1073854840
Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Holding Company LLC, Diversicare Kansas LLC, Diversicare Management Services LP.
-
dba Diversicare of Council Grove
- Skilled Nursing Facility
- Council Grove, KS
- NPI 1972844744
Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Holding Company LLC, Diversicare Kansas LLC, Diversicare Management Services LP.
-
dba Diversicare of Haysville
- Skilled Nursing Facility
- Haysville, KS
- NPI 1043551815
Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Holding Company LLC, Diversicare Kansas LLC, Diversicare Management Services LP.
-
dba Diversicare of Larned
- Skilled Nursing Facility
- Larned, KS
- NPI 1306187174
Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Holding Company LLC, Diversicare Kansas LLC, Diversicare Management Services LP.
-
dba Diversicare of Sedgwick
- Skilled Nursing Facility
- Sedgwick, KS
- NPI 1932440708
Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Holding Company LLC, Diversicare Kansas LLC, Diversicare Management Services LP.
-
dba The Healthcare Center at Buck Creek
- Skilled Nursing Facility
- Alabaster, AL
- NPI 1801553185
Diversicare Management Services LP.
-
dba Diversicare of Copper Basin
- Skilled Nursing Facility
- Copperhill, TN
- NPI 1003629809
Dac Acquisition LLC, Diversicare Management Services LP.
-
dba Diversicare of Greensboro
- Skilled Nursing Facility
- Greensboro, AL
- NPI 1417690157
Diversicare Management Services LP.
-
dba Diversicare of Marion
- Skilled Nursing Facility
- Marion, AL
- NPI 1669115309
Dac Acquisition LLC
-
dba Diversicare of Moss Point
- Skilled Nursing Facility
- Moss Point, MS
- NPI 1427708338
Dac Acquisition LLC, Diversicare Management Services LP.
-
dba Diversicare of Quitman
- Skilled Nursing Facility
- Quitman, MS
- NPI 1477203396
Dac Acquisition LLC
-
dba Diversicare of Shelby
- Skilled Nursing Facility
- Shelby, MS
- NPI 1497405328
Dac Acquisition LLC
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.
-
- Family Medicine Physician
- Hutchinson, KS
- NPI 1720390057
Affiliated clinicians 5
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": "1416268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788393600000",
"number": "1164828174",
"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": "1202 E 23RD AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675025656",
"telephone_number": "620-669-9393",
"fax_number": "620-669-0817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVERSICARE OF HUTCHINSON, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DIVERSICARE HEALTHCARE SERVICES, LLC",
"enumeration_date": "2014-11-18",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Diversicare of Hutchinson",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Diversicare of Hutchinson",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.