Diversicare Leasing Corp.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

536 Issued in AR

Legal business name

DIVERSICARE LEASING CORP.

Practice address

534 Carpenter Dam Rd
Hot Springs, AR 71901-8213

Phone

(501) 262-4124

Fax

(501) 262-5722

NPI assigned

Oct 8, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Raymond L. Tyler Jr.

Title

Executive Vice President and Coo

Phone

(615) 771-7575

Specialties & licenses 1

Addresses

Other names 1

• The Pines Nursing and Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1128729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497743074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 CARPENTER DAM RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018213",
            "telephone_number": "501-262-4124",
            "fax_number": "501-262-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 CARPENTER DAM RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018213",
            "telephone_number": "501-262-4124",
            "fax_number": "501-262-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSICARE LEASING CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT AND COO",
        "authorized_official_telephone_number": "615-771-7575",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pines Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth Doyne Dill, MD
• Hazel Dillehay, RN
• Direct Integrative Health of Hot Springs PLLC
• Direct Surgical Care of Hot Springs, PLLC
• Stephen G Divers, M.D.
• Diversicare Leasing Corp.
• Chardonne Dixon
• Naomi Dian Dixon, APRN
• Terance Lionel Dixon Jr.
• Anna Dobbs, LPC

• Skilled Nursing Facility in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.