NPIMap

Organization Active NPI

Dac of Moss Point, LLC

Doing business as Diversicare of Moss Point

  • Skilled Nursing Facility
  • Moss Point, MS
National Provider Identifier
1427708338
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 MOSS POINT, LLC
Doing business as
Diversicare of Moss Point
Practice address
3401 Main St
Moss Point, MS 39563-5101
Phone
(228) 762-7451
Fax
(228) 769-2294
NPI assigned
Mar 24, 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

3401 Main St
Moss Point, MS 39563-5101

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00230107MedicaidMS

Other names 1

  • Diversicare of Moss Point Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220727000793 MS Part A Provider - Skilled Nursing Facility 2668854423 Practice locations: Moss Point, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427708338. Details of each certification follow.

Skilled nursing facility certification: CCN 255174

Legal name
DAC OF MOSS POINT, LLC
Doing business as
DIVERSICARE OF MOSS POINT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1994
Last certification
Dec 5, 2024
Beds
160
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Diversicare
Organization structure
LLCProprietary
Incorporated
Jan 27, 2022 in DE
Enrollment address
3401 Main St
Moss Point, MS 39563-5101
Nursing home name
DIVERSICARE OF MOSS POINT
Affiliated entity
DIVERSICARE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Diversicare of Moss PointCCN 255174 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
16095.5 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
25D0672424Diversicare of Moss Point3401 Main Street, Moss Point, MS 39563Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Thomas E Stevens Individual Contracted Managing EmployeeMD; Sep 1, 2022
Adp of the SNF Nov 23, 2024
Lme Family Holdings LLC Organization, Lawrence, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2022 9.1%
Stephen Michael Nee Individual Corporate OfficerChief Executive Officer Dac Opco LL Feb 20, 2023
Diversicare Management Services LP. Organization, Brentwood, TN Management services company, For-profit Operational/Managerial Control Nov 11, 2024
Eran Ratner Individual Corporate OfficerPresident Sep 13, 2024
Corporate DirectorBoard Member of Dac Acquisition Apr 1, 2022
Matthew J Weishaar Individual Corporate OfficerCfo/Secretary Apr 1, 2022
Dac Acquisition LLC Organization, Lynbrook, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 12, 2022 100%
Dac Opco Mississippi LLC Organization, Brentwood, TN LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2022 100%
Brian Kohn Individual Corporate DirectorBoard Member of Dac Acquisition Apr 1, 2022
William Trevvett Individual W-2 Managing Employee Feb 19, 2024
Adp of the SNF Nov 23, 2024
Dac Opco, LLC Organization, Brentwood, TN LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 27, 2022 61%
Nam Med Gulf Port LLC Organization, Great Neck, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2022 16.4%
Rebecca B Bodie Individual Corporate OfficerChief Operating Officer Dac Opco LL Apr 1, 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 68

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

View all 68

Practitioners & affiliated clinicians

Practitioners 2

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": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1427708338",
    "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": "3401 MAIN ST",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395635101",
            "telephone_number": "228-762-7451",
            "fax_number": "228-769-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAC OF MOSS POINT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAC ACQUISITION LLC",
        "enumeration_date": "2022-03-24",
        "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": "00230107",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversicare of Moss Point",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diversicare of Moss Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moss Point, MS

Sources for this page

Verify at the official NPI Registry.