Diversicare of Smyrna

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4718 Issued in TN

Legal business name

DIVERSICARE OF SMYRNA

Practice address

200 Mayfield Dr
Smyrna, TN 37167-3019

Phone

(615) 355-0350

NPI assigned

Jul 13, 2016

Last updated

Jul 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel Banyas, OTR/L

Title

Occupational Therapist

Phone

(931) 626-4691

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1801249941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7282 SUGARLOAF DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAYFIELD DR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673019",
            "telephone_number": "615-355-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSICARE OF SMYRNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "BANYAS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "931-626-4691",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "4718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Bruce Dickinson, APN
• Holly Dillon
• Temeka Dimsuke, OTR/L
• Ernest Dismuke Jr., OT R/L
• Diversicare Leasing LP (Diversicare of Smyrna)
• Divine Timing Health Care Support, LLC
• Sarolyn Lilnelle Dixon Cohill
• Makia Dixon
• Joseph Serafin Doctora, DDS, MD
• Jessica Rae Doman, FNP-BC

• Skilled Nursing Facility in Smyrna, TN
• Providers in Smyrna, 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 Jul 13, 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.