Diversicare Therapy Services, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DIVERSICARE THERAPY SERVICES, LLC

Practice address

1621 Galleria Blvd
Brentwood, TN 37027-2926

Phone

(615) 771-7575

Fax

(615) 771-7409

NPI assigned

Jan 31, 2013

Organization subpart

Yes

Parent organization

ADVOCAT INC.As reported in NPPES

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

Authorized official

Name

Kelly J Gill

Title

President and Ceo

Phone

(615) 771-7575

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1851630503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 GALLERIA BLVD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272926",
            "telephone_number": "615-771-7575",
            "fax_number": "615-771-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 GALLERIA BLVD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272926",
            "telephone_number": "615-771-7575",
            "fax_number": "615-771-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSICARE THERAPY SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCAT INC.",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "615-771-7575"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cintia Diniz
• Nicholas Leo Dinkens
• Mairo Lami Diolombi, MD
• Direct Access Coordination, Inc.
• Peyton Disser
• John Kent Dix
• Adia Imanie Dixon
• Jennifer Dixon
• Lawanda Michelle Dixon
• Paul Junior Dixon

• Skilled Nursing Facility in Brentwood, TN
• Providers in Brentwood, 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 31, 2013; 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.