Diversicare of Selma, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N2402 Issued in AL

Legal business name

DIVERSICARE OF SELMA, LLC

Doing business as

Park Place

Practice address

100 Park PL
Selma, AL 36701

Phone

(334) 872-3471

Fax

(334) 872-8923

NPI assigned

Mar 20, 2017

Last updated

Sep 3, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

DIVERSICARE HOLDING COMPANY, LLCAs reported in NPPES

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

Addresses

Other identifiers 1

Other names 1

• Park Place Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265973457. Details of each certification follow.

• CCN 015084 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 015084

Legal name

DIVERSICARE OF SELMA LLC

Doing business as

PARK PLACE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 1979

Last certification

Apr 6, 2022

Beds

103

Ownership / control type

Corporation

Multi-facility organization

DIVERSICARE

Most recent change of ownership

Jul 1, 2017

Organization structure

LLCProprietary

Enrollment address

100 Park PL
Selma, AL 36701-7743

Nursing home name

PARK PLACE

Affiliated entity

DIVERSICARE HEALTHCARE

Listed as

Park PlaceCCN 015084 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Nov 1, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10396.4 residents per day on average

Chain

Diversicare Healthcare44 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• David Ibrahim, M.D.

  • Family Medicine Physician
  • Decatur, IL
  • NPI 1225443542

  Adp of the SNF, Contracted Managing Employee

  CMS ownership

Facilities with the same owner 42

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Alabaster Opco, LLC

  dba The Healthcare Center at Buck Creek

  • Skilled Nursing Facility
  • Alabaster, AL
  • NPI 1801553185

  Diversicare Management Services LP.

  CMS ownership
• Dac of Greensboro, LLC

  dba Diversicare of Greensboro

  • Skilled Nursing Facility
  • Greensboro, AL
  • NPI 1417690157

  Diversicare Management Services LP.

  CMS ownership
• Dac of Marion, LLC

  dba Diversicare of Marion

  • Skilled Nursing Facility
  • Marion, AL
  • NPI 1669115309

  Dac Acquisition LLC

  CMS ownership
• Diversicare Hartford, LLC

  dba Hartford Health Care

  • Skilled Nursing Facility
  • Hartford, AL
  • NPI 1659368454

  Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Management Services LP.

  CMS ownership
• Diversicare of Arab, LLC

  dba Diversicare of Arab

  • Skilled Nursing Facility
  • Arab, AL
  • NPI 1124573498

  Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Management Services LP.

  CMS ownership
• Diversicare of Bessemer, LLC

  dba Diversicare of Bessemer

  • Skilled Nursing Facility
  • Bessemer, AL
  • NPI 1538614755

  Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Management Services LP.

  CMS ownership
• Diversicare of Big Springs, LLC

  dba Diversicare of Big Springs

  • Skilled Nursing Facility
  • Huntsville, AL
  • NPI 1235552241

  Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Management Services LP.

  CMS ownership
• Diversicare of Boaz, LLC

  dba Diversicare of Boaz

  • Skilled Nursing Facility
  • Boaz, AL
  • NPI 1396290466

  Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Management Services LP.

  CMS ownership
• Diversicare of Foley, LLC

  dba Diversicare of Foley

  • Skilled Nursing Facility
  • Foley, AL
  • NPI 1649725722

  Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Management Services LP.

  CMS ownership
• Diversicare of Hueytown, LLC

  dba Baron House of Hueytown

  • Skilled Nursing Facility
  • Hueytown, AL
  • NPI 1972058055

  Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Management Services LP.

  CMS ownership
• Diversicare of Lanett, LLC

  dba Diversicare of Lanett

  • Skilled Nursing Facility
  • Lanett, AL
  • NPI 1821543919

  Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Management Services LP.

  CMS ownership
• Diversicare of Montgomery, LLC

  dba Diversicare of Montgomery

  • Skilled Nursing Facility
  • Montgomery, AL
  • NPI 1366997454

  Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Management Services LP.

  CMS ownership

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.

• David Ibrahim, M.D.

  • Family Medicine Physician
  • Decatur, IL
  • NPI 1225443542
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Park Thetford Chittom II, M.D.

  • Internal Medicine Physician
  • Selma, AL
  • NPI 1093796047

  Nursing home

  Care Compare affiliation
• Park Thetford Chittom, M.D.

  • Internal Medicine Physician
  • Selma, AL
  • NPI 1164413308

  Nursing home

  Care Compare affiliation
• David Ibrahim, M.D.

  • Family Medicine Physician
  • Decatur, IL
  • NPI 1225443542

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1265973457",
    "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": "100 PARK PL",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "36701",
            "telephone_number": "334-872-3471",
            "fax_number": "334-872-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSICARE OF SELMA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVERSICARE HOLDING COMPANY, LLC",
        "enumeration_date": "2017-03-20",
        "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": "AL",
            "license": "N2402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206565",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deidre J. Russell, M.D.,LLC
• Mezzy Anne Bernardino Dela Pierre, RN, BSN
• Glenn Ray Delp, M.D.
• Holland Dempsey
• Diabetic Shoppe Inc
• Patrice Noreen Donahue, M.D.
• Doss Home Health Care
• Dr. Jeffery B Ford & Assoc.
• Dr. Jeffery B. Ford and Assoc. LLC
• Terry Dunson

• Skilled Nursing Facility in Selma, AL
• Providers in Selma, AL by specialty
• Skilled Nursing Facility in Alabama

• 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.

Verify at the official NPI Registry.