NPIMap

Organization Active NPI

Dac of Greensboro, LLC

Doing business as Diversicare of Greensboro

  • Skilled Nursing Facility
  • Greensboro, AL
National Provider Identifier
1417690157
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DAC OF GREENSBORO, LLC
Doing business as
Diversicare of Greensboro
Practice address
616 Armory St
Greensboro, AL 36744-2110
Phone
(334) 624-3054
Fax
(334) 624-7560
NPI assigned
Apr 20, 2022
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DAC ACQUISITION 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

616 Armory St
Greensboro, AL 36744-2110

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
306170MedicaidAL

Other names 1

  • Diversicare of Greensboro Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220805001778 AL Part A Provider - Skilled Nursing Facility 1153703228 Practice locations: Greensboro, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417690157. Details of each certification follow.

Skilled nursing facility certification: CCN 015396

Legal name
DAC OF GREENSBORO LLC
Doing business as
DIVERSICARE OF GREENSBORO
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 22, 1987
Last certification
Feb 1, 2024
Beds
97
Ownership / control type
Corporation
Multi-facility organization
Diversicare
Most recent change of ownership
May 13, 2022
Organization structure
LLCProprietary
Enrollment address
616 Armory St
Greensboro, AL 36744-2110
Nursing home name
DIVERSICARE OF GREENSBORO
Affiliated entity
DIVERSICARE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Diversicare of GreensboroCCN 015396 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 22, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9779.5 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
01D0941602Diversicare of Greensboro616 Armory Road, Greensboro, AL 36744Certificate of waiverFeb 26, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Aur Ahc Colonial Haven Propco LLC Organization, Brooklyn, NY LLC, For-profit Adp of the SNF May 12, 2022
Franklin Scott Kellman Individual Managing Control - Governing BodyManager Sep 13, 2024
Stephen Michael Nee Individual Operational/Managerial Control May 13, 2022
Managing Control - Governing BodyChief Executive Officer Feb 20, 2023
Diversicare Management Services LP. Organization, Brentwood, TN Management services company, For-profit Operational/Managerial Control May 13, 2022
Eran Ratner Individual Managing Control - Governing BodyManager Sep 13, 2024
Matthew J Weishaar Individual Operational/Managerial Control May 13, 2022
Managing Control - Governing BodyChief Financial Officer / Secretary May 13, 2022
Trent Reynolds Individual Operational/Managerial Control Mar 6, 2023
Adp of the SNF Mar 26, 2025
Dac Acquisition LLC Organization, Lynbrook, NY LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest May 13, 2022 100%
Brian Kohn Individual Managing Control - Governing BodyManager May 13, 2022
Indirect Ownership Interest May 13, 2022 5.46%
William Lee Individual Operational/Managerial Control Jun 1, 2024
Adp of the SNF Apr 8, 2025
Dac Opco, LLC Organization, Brentwood, TN LLC, For-profit, Owned by another organization or individual Direct Ownership Interest May 13, 2022 100%
Rebecca B Bodie Individual Operational/Managerial Control May 13, 2022
Managing Control - Governing BodyChief Operating Officer May 13, 2022

Owners & managing parties with NPI records 1

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

Facilities with the same owner 39

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

View all 39

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": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1417690157",
    "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": "616 ARMORY ST",
            "city": "GREENSBORO",
            "state": "AL",
            "postal_code": "367442110",
            "telephone_number": "334-624-3054",
            "fax_number": "334-624-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAC OF GREENSBORO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAC ACQUISITION LLC",
        "enumeration_date": "2022-04-20",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306170",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversicare of Greensboro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diversicare of Greensboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, AL

Sources for this page

Verify at the official NPI Registry.