Active NPI
Diversicare of Brookhaven, LLC
- Skilled Nursing Facility
- Brookhaven, MS
On this page
- Key facts
- NPPES NPI Registry
- Owners & managing parties with NPI records1
- Facilities with the same owner42
- Practitioners2
- Affiliated clinicians1
- Care Compare: Nursing home
- Laboratory certificates & supplier records
- Medicare participation
- All disclosed owners & managing parties15
- National Provider Directory
- NPI Registry JSON
- Other providers in Brookhaven, MS
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 377
- Legal business name
- DIVERSICARE OF BROOKHAVEN, LLC
- Practice address
- 519 Brookman Dr
Brookhaven, MS 39601-2326 - Phone
- (601) 833-2881
- Fax
- (601) 833-2360
- NPI assigned
- Aug 18, 2016
- Organization subpart
- Yes
- Parent organization
- DIVERSICARE LEASING COMPANY III, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 377 | MS | Primary |
Addresses
Primary practice location
519 Brookman Dr
Brookhaven, MS 39601-2326
Mailing address
730 Cool Springs Blvd Ste 200
Franklin, TN 37067-7290
Phone (615) 550-9453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00023021 | Medicaid | MS |
Other names 1
- Diversicare of Brookhaven
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Emergency Medicine Physician
- Brookhaven, MS
- NPI 1932517562
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 42
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Moss Point, MS
- NPI 1427708338
Dac Acquisition LLC, Diversicare Management Services LP.
-
- Skilled Nursing Facility
- Amory, MS
- NPI 1750836748
Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Leasing Company III LLC, Diversicare Management Services LP.
-
- Skilled Nursing Facility
- Batesville, MS
- NPI 1578018560
Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Leasing Company III LLC, Diversicare Management Services LP.
-
- Skilled Nursing Facility
- Eupora, MS
- NPI 1558816546
Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Leasing Company III LLC, Diversicare Management Services LP.
-
- Skilled Nursing Facility
- Meridian, MS
- NPI 1639624620
Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Leasing Company III LLC, Diversicare Management Services LP.
-
- Skilled Nursing Facility
- Ripley, MS
- NPI 1457806440
Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Leasing Company III LLC, Diversicare Management Services LP.
-
- Skilled Nursing Facility
- Southaven, MS
- NPI 1801341896
Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Leasing Company III LLC, Diversicare Management Services LP.
-
- Skilled Nursing Facility
- Tupelo, MS
- NPI 1447705439
Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Leasing Company III LLC, Diversicare Management Services LP.
-
- Skilled Nursing Facility
- Tylertown, MS
- NPI 1083169072
Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Leasing Company III LLC, Diversicare Management Services LP.
-
- Skilled Nursing Facility
- Alabaster, AL
- NPI 1801553185
Diversicare Management Services LP.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Brookhaven, MS
- NPI 1881952489
-
- Emergency Medicine Physician
- Brookhaven, MS
- NPI 1932517562
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Diversicare of Brookhaven
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Mar 1, 1994
- Medicare certification status
- Active
- Certified beds
- 58
- Chain
- Diversicare Healthcare
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D0673779 | Diversicare of Brookhaven, LLC | Certificate of waiver | Aug 31, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161108001583 | MS | Part A Provider - Skilled Nursing Facility | 9739468190 | Practice locations: Brookhaven, MS |
Skilled nursing facility certification: CCN 255175
- Legal name
- DIVERSICARE OF BROOKHAVEN LLC
- Doing business as
- DIVERSICARE OF BROOKHAVEN
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 1, 1994
- Last certification
- Jun 20, 2024
- Beds
- 58
- Ownership / control type
- Corporation
- Multi-facility organization
- Diversicare Healthcare Services, LLC
- Organization structure
- LLC
- Incorporated
- Jul 1, 2016 in DE
- Enrollment address
- 519 Brookman Dr
Brookhaven, MS 39601-2326 - Nursing home name
- DIVERSICARE OF BROOKHAVEN
- Affiliated entity
- DIVERSICARE HEALTHCARE
All disclosed owners & managing parties 15
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Charolett Canova | Operational/Managerial Control | Oct 4, 2017 | |
| Adp of the SNF | Oct 4, 2017 | ||
| Franklin Scott Kellman | Corporate Director | Sep 13, 2024 | |
| Stephen Michael Nee | Corporate Officer | Feb 20, 2023 | |
| Diversicare Management Services LP. | 5% Or Greater Indirect Ownership Interest | Jul 1, 2016 | 100% |
| Operational/Managerial Control | Nov 14, 2024 | ||
| Eran Ratner | Corporate Officer | Sep 13, 2024 | |
| Corporate Director | Nov 19, 2021 | ||
| Matthew J Weishaar | Corporate Officer | Dec 1, 2003 | |
| Diversicare Healthcare Services LLC | 5% Or Greater Indirect Ownership Interest | Apr 4, 2022 | 99% |
| Dac Acquisition LLC | 5% Or Greater Indirect Ownership Interest | Nov 19, 2021 | 100% |
| Brian Kohn | Corporate Director | Nov 19, 2021 | |
| Cole T Hodges | Operational/Managerial Control | Nov 15, 2024 | |
| Adp of the SNF | Nov 15, 2024 | ||
| Dac Newcorp Inc | 5% Or Greater Indirect Ownership Interest | Apr 4, 2022 | 100% |
| Rebecca B Bodie | Corporate Officer | Mar 2, 2020 | |
| Diversicare Leasing Company III LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2016 | 100% |
| Advocat Finance, LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2016 | 100% |
| Diversicare of Brookhaven LLC | Operational/Managerial Control | Oct 1, 2016 |
National Provider Directory
National Provider DirectoryNPI 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": "1831644822",
"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": "519 BROOKMAN DR",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396012326",
"telephone_number": "601-833-2881",
"fax_number": "601-833-2360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVERSICARE OF BROOKHAVEN, 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": "377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00023021",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Diversicare of Brookhaven",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Diversicare of Brookhaven",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brookhaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.