Organization Active NPI

Diversicare of Hueytown, LLC

  • Skilled Nursing Facility
  • Hueytown, AL
National Provider Identifier
1972058055
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DIVERSICARE OF HUEYTOWN, LLC
Practice address
190 Brooklane Dr
Hueytown, AL 35023-2368
Phone
(205) 491-2905
Fax
(615) 620-7875
NPI assigned
Aug 18, 2016
Organization subpart
Yes
Parent organization
DIVERSICARE HEALTHCARE SERVICES 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) 771-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X AL Primary

Addresses

Primary practice location

190 Brooklane Dr
Hueytown, AL 35023-2368

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
199000MedicaidAL

Other names 1

  • Baron House of Hueytown Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161230000363 AL Part A Provider - Skilled Nursing Facility 6204117492 Practice locations: Hueytown, AL

Skilled nursing facility certification: CCN 015404

Legal name
DIVERSICARE OF HUEYTOWN LLC
Doing business as
BARON HOUSE OF HUEYTOWN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 8, 1989
Last certification
Mar 13, 2024
Beds
50
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Diversicare Healthcare Services LLC
Most recent change of ownership
Nov 1, 2016
Organization structure
LLCProprietary
Incorporated
Jul 1, 2016 in DE
Enrollment address
190 Brooklane Dr
Hueytown, AL 35023-2368
Nursing home name
BARON HOUSE OF HUEYTOWN
Affiliated entity
DIVERSICARE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Baron House of HueytownCCN 015404
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 8, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5035.1 residents per day on average
Chain
Diversicare Healthcare44 facilities in the chain

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
01D0641474Baron House of Hueytown190 Brooklane Drive, Hueytown, AL 35023Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

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
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
Antonia M. Richey Individual W-2 Managing EmployeeAd; Oct 31, 2023
Matthew J Weishaar Individual Corporate OfficerCfo and Secretary Dec 1, 2003
Diversicare Healthcare Services LLC Organization, Brentwood, TN LLC, For-profit Limited Partnership Interest Apr 4, 2022 99%
Dac Acquisition LLC Organization, Lynbrook, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 19, 2021 100%
Brian Kohn Individual Corporate DirectorBoard Member Nov 19, 2021
Diversicare of Hueytown LLC Organization, Hueytown, AL Created for acquisition, LLC, For-profit Other Nov 1, 2016
Dac Newcorp Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Apr 4, 2022 100%
Rebecca B Bodie Individual Corporate OfficerEvp and Coo Mar 2, 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 2

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": "1972058055",
    "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": "190 BROOKLANE DR",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350232368",
            "telephone_number": "205-491-2905",
            "fax_number": "615-620-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSICARE OF HUEYTOWN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVERSICARE HEALTHCARE SERVICES 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": "615-771-7575"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199000",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baron House of Hueytown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baron House of Hueytown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hueytown, AL

Sources for this page

Verify at the official NPI Registry.