Diversicare Leasing LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000306 Issued in TN

Legal business name

DIVERSICARE LEASING LP

Doing business as

Diversicare of Dover

Practice address

537 Spring St
Dover, TN 37058-3232

Phone

(931) 232-6902

Fax

(931) 232-4256

NPI assigned

Oct 12, 2005

Last updated

Jan 19, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

DLC GP 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

Cfo/Secretary

Phone

(615) 550-9459

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Diversicare of Dover Doing business as

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.

• Michael Allen Carter, MD

  • Family Medicine Physician
  • Erin, TN
  • NPI 1639293871
  NPD (past)
• Donald E Vollmer II, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Hendersonville, TN
  • NPI 1184612921
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1548258676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 SPRING ST",
            "city": "DOVER",
            "state": "TN",
            "postal_code": "370583232",
            "telephone_number": "931-232-6902",
            "fax_number": "931-232-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 SPRING ST",
            "city": "DOVER",
            "state": "TN",
            "postal_code": "370583232",
            "telephone_number": "931-232-6902",
            "fax_number": "931-232-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSICARE LEASING LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DLC GP LLC",
        "enumeration_date": "2005-10-12",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "WEISHAAR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO/SECRETARY",
        "authorized_official_telephone_number": "615-550-9459"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744-0452",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversicare of Dover",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diversicare of Dover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Cravens, FNP-BC
• Kimberly D. Crutcher, RN
• Alicia Brooke Curvin
• Joydianne Damiani-Smith, SLP-CCC
• Erin M Dimond, LMT
• Dover Care Center
• Dana M. Earhart, LPN
• Atef Ebrhim, M.D.
• William Aaron Edwards, F.N.P.
• Donna Elkins

• Skilled Nursing Facility in Dover, TN
• Providers in Dover, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.