Organization Active NPI

Diversicare of Hutchinson, LLC

Doing business as Diversicare of Hutchinson

  • Skilled Nursing Facility
  • Hutchinson, KS
National Provider Identifier
1164828174
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 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, 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) 550-9459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 HutchinsonCCN 175114 · All quality measures
Overall star rating
4 of 5
Health inspections
4 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
7368.5 residents per day on average
Chain
Diversicare Healthcare44 facilities in the chain
Penalties (3 years)
1Fines totaling $8,376

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
17D0882111Diversicare of Hutchinson1202 E 23Rd Ave, Hutchinson, KS 67502Certificate of waiverJan 27, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Franklin Scott Kellman Individual Corporate DirectorBoard Member Sep 13, 2024
Renee Johnson Individual W-2 Managing Employee Mar 27, 2023
Adp of the SNF Nov 15, 2024
Stephen Michael Nee Individual Corporate OfficerChief Executive Officer Feb 20, 2023
DMS GP LLC Organization, Brentwood, TN LLC, For-profit, Owned by another organization or individual General Partnership Interest Apr 4, 2022 1%
Diversicare Management Services LP. Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Dec 10, 1996 100%
Eran Ratner Individual Corporate OfficerPresident Sep 13, 2024
Corporate DirectorBoard Member Nov 19, 2021
Matthew J Weishaar Individual Corporate OfficerCfo and Secretary Dec 1, 2003
Diversicare Kansas LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 17, 2014 100%
Diversicare Healthcare Services LLC Organization, Brentwood, TN Corporation, LLC, For-profit, Chain home office Limited Partnership Interest Apr 4, 2022 99%
Dac Acquisition LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 19, 2021 100%
Brian Kohn Individual Corporate DirectorBoard Member Nov 19, 2021
Diversicare of Hutchinson LLC Organization, Hutchinson, KS Created for acquisition, LLC, For-profit Other Feb 1, 2015 100%
Diversicare Holding Company LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 29, 2013 100%
Dac Newcorp Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 4, 2022 100%
Rebecca B Bodie Individual Corporate OfficerEvp and Chief Operating Officer Mar 2, 2020
Advocat Finance, LLC Organization, Brentwood, TN LLC, For-profit 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.

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 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

Verify at the official NPI Registry.