Organization Active NPI

Diversicare Rehabilitation Services

  • Speech-Language Pathologist
  • Gadsden, AL
National Provider Identifier
1679930986
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1929 Issued in AL
Legal business name
DIVERSICARE REHABILITATION SERVICES
Practice address
700 Hutchins Ave
Gadsden, AL 35901-1876
Phone
(256) 543-7101
NPI assigned
Jan 19, 2016
Last updated
Jan 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Mrs. Jennifer Roland, MSCCC-SLPNPI 1891152500
Title
Speech-Language Pathologist
Phone
(256) 546-7556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1929 AL Primary

Addresses

Primary practice location

700 Hutchins Ave
Gadsden, AL 35901-1876

Mailing address

118 Sheffield LN
Gadsden, AL 35904-6503
Phone (256) 546-7556

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1679930986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SHEFFIELD LN",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359046503",
            "telephone_number": "256-546-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HUTCHINS AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359011876",
            "telephone_number": "256-543-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSICARE REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "256-546-7556",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSCCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "1929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.