Organization Active NPI

Diversicare of Meridian, LLC

  • Skilled Nursing Facility
  • Meridian, MS
National Provider Identifier
1639624620
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
376 Issued in MS
Legal business name
DIVERSICARE OF MERIDIAN, LLC
Practice address
4728 Highway 39 N
Meridian, MS 39301-1015
Phone
(601) 482-8151
Fax
(601) 482-5206
NPI assigned
Aug 18, 2016
Organization subpart
Yes
Parent organization
DIVERSICARE LEASING COMPANY III, 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 376 MS Primary

Addresses

Primary practice location

4728 Highway 39 N
Meridian, MS 39301-1015

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00023020MedicaidMS

Other names 1

  • Diversicare of Meridian Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161110001003 MS Part A Provider - Skilled Nursing Facility 4789963968 Practice locations: Meridian, MS

Skilled nursing facility certification: CCN 255118

Legal name
DIVERSICARE OF MERIDIAN LLC
Doing business as
DIVERSICARE OF MERIDIAN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1989
Last certification
May 21, 2025
Beds
120
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jul 1, 2016 in DE
Enrollment address
4728 Highway 39 N
Meridian, MS 39301-1015
Nursing home name
DIVERSICARE OF MERIDIAN
Affiliated entity
DIVERSICARE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Diversicare of MeridianCCN 255118
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12097.4 residents per day on average
Chain
Diversicare Healthcare44 facilities in the chain
Penalties (3 years)
2Fines totaling $21,798

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
25D0675213Diversicare of Meridian, LLC4728 Highway 39 North, Meridian, MS 39301Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

4728 Highway 39 N
Meridian, MS 39301
Phone (601) 482-8151

Ownership & related parties

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.

NameRoleSinceShare
Marsha Sneed Individual W-2 Managing EmployeeAd; Aug 19, 2024
Franklin Scott Kellman Individual Corporate DirectorBoard Member Sep 13, 2024
Stephen Michael Nee Individual Corporate OfficerChief Executive Officer Feb 20, 2023
DMS GP LLC Organization, Brentwood, TN LLC General Partnership Interest Apr 4, 2022 1%
Diversicare Management Services LP. Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2016 100%
Eran Ratner Individual Corporate OfficerPresident Sep 13, 2024
Corporate DirectorBoard Member Nov 19, 2021
Operational/Managerial ControlManaging Member Sep 13, 2024
Matthew J Weishaar Individual Corporate OfficerCfo and Secretary Dec 1, 2003
Diversicare of Meridian LLC Organization, Meridian, MS LLC, For-profit Other Oct 1, 2016
Diversicare Healthcare Services LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest May 10, 1994 100%
Dac Acquisition LLC Organization, Lynbrook, NY LLC 5% Or Greater Indirect Ownership Interest Nov 19, 2021 100%
Brian Kohn Individual Corporate DirectorBoard Member Nov 19, 2021
Dac Newcorp Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Apr 4, 2022 100%
Rebecca B Bodie Individual Corporate OfficerEvp and Cheif Operating Officer Mar 20, 2020
Diversicare Leasing Company III LLC Organization, Brentwood, TN Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2016 100%
Advocat Finance, LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Jul 1, 2016 100%

Facilities with the same owner 42

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

View all 42

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1639624620",
    "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": "4728 HIGHWAY 39 N",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011015",
            "telephone_number": "601-482-8151",
            "fax_number": "601-482-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSICARE OF MERIDIAN, 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": "MS",
            "license": "376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00023020",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversicare of Meridian",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diversicare of Meridian",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.