Diversicare of Montgomery, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DIVERSICARE OF MONTGOMERY, LLC

Doing business as

Diversicare of Montgomery

Practice address

2020 N Country Club Dr
Montgomery, AL 36106-1614

Phone

(334) 263-1643

Fax

(334) 263-1645

NPI assigned

Aug 18, 2016

Last updated

Sep 3, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

DIVERSICARE LEASING COMPANY III, 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

• Diversicare of Montgomery 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 1366997454. Details of each certification follow.

• CCN 015040 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 015040

Legal name

DIVERSICARE OF MONTGOMERY LLC

Doing business as

DIVERSICARE OF MONTGOMERY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 17, 1979

Last certification

Apr 5, 2023

Beds

138

Ownership / control type

Corporation

Multi-facility organization

Diversicare

Most recent change of ownership

Nov 1, 2016

Organization structure

LLCProprietary

Incorporated

Jul 1, 2016 in DE

Enrollment address

2020 N Country Club Dr
Montgomery, AL 36106-1614

Nursing home name

DIVERSICARE OF MONTGOMERY

Affiliated entity

DIVERSICARE HEALTHCARE

Listed as

Diversicare of MontgomeryCCN 015040 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jul 17, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

138114.5 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 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold 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 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 Leasing Company III 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 Leasing Company III LLC, 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 Leasing Company III 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 Leasing Company III LLC, 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 Leasing Company III LLC, 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 Leasing Company III LLC, Diversicare Management Services LP.

  CMS ownership
• Diversicare of Oneonta, LLC

  dba Diversicare of Oneonta

  • Skilled Nursing Facility
  • Oneonta, AL
  • NPI 1417402504

  Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Leasing Company III LLC, 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.

• Joel C Bolen, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Montgomery, AL
  • NPI 1063576130
  NPD (past)

Affiliated clinicians 1

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

• Joel C Bolen, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Montgomery, AL
  • NPI 1063576130

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1366997454",
    "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": "615-550-9435",
            "fax_number": "615-915-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N COUNTRY CLUB DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061614",
            "telephone_number": "334-263-1643",
            "fax_number": "334-263-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSICARE OF MONTGOMERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVERSICARE LEASING COMPANY III, LLC",
        "enumeration_date": "2016-08-18",
        "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": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198986",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversicare of Montgomery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diversicare of Montgomery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Carine Laure Djuidje, PMHNP
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• Skilled Nursing Facility in Montgomery, AL
• Providers in Montgomery, 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.