Organization Active NPI

Diversicare of Council Grove LLC

  • Skilled Nursing Facility
  • Council Grove, KS
National Provider Identifier
1972844744
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 COUNCIL GROVE LLC
Practice address
400 Sunset Dr
Council Grove, KS 66846-1554
Phone
(620) 767-5172
Fax
(620) 767-6622
NPI assigned
Mar 4, 2013
Organization subpart
Yes
Parent organization
DIVERSICARE KANSAS 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) 550-9459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

400 Sunset Dr
Council Grove, KS 66846-1554

Mailing address

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

Other names 1

  • Diversicare of Council Grove Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130618000473 KS Part A Provider - Skilled Nursing Facility 1557500873 Practice locations: Council Grove, KS

Skilled nursing facility certification: CCN 175239

Legal name
DIVERSICARE OF COUNCIL GROVE, LLC
Doing business as
DIVERSICARE OF COUNCIL GROVE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1993
Last certification
Aug 28, 2024
Beds
60
Ownership / control type
Corporation
Multi-facility organization
Diversicare
Most recent change of ownership
Jan 1, 2005
Organization structure
LLCProprietary
Incorporated
Jan 29, 2013 in DE
Enrollment address
400 Sunset Drive
Council Grove, KS 66846-1554
Nursing home name
DIVERSICARE OF COUNCIL GROVE
Affiliated entity
DIVERSICARE HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Diversicare of Council GroveCCN 175239
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6045.2 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
17D0450746Diversicare of Council Grove400 Sunset Drive, Council Grove, KS 66846Certificate 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
Lora a Siegle Individual Contracted Managing EmployeeMD; Jun 15, 2016
Adp of the SNF Dec 26, 2024
Stephen Michael Nee Individual Corporate OfficerChief Executive Officer Feb 20, 2023
Diversicare Management Services LP. Organization, Brentwood, TN Management services company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 29, 2013 100%
Operational/Managerial Control Dec 6, 2024
Eran Ratner Individual Corporate OfficerPresident Sep 13, 2024
Corporate DirectorBoard Member Nov 19, 2021
Matthew J Weishaar Individual Corporate OfficerCfo and Secretary Dec 1, 2003
Diversicare Kansas LLC Organization, Brentwood, TN LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 29, 2013 100%
Diversicare Healthcare Services LLC Organization, Brentwood, TN LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 10, 1994 100%
Dac Acquisition LLC Organization, Lynbrook, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 19, 2021 100%
Brian Kohn Individual Corporate DirectorBoard Member Nov 19, 2021
Diversicare Holding Company LLC Organization, Brentwood, TN LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 29, 2013
Dac Newcorp Inc Organization, Brentwood, TN Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 4, 2022 100%
Brad Fischer Individual W-2 Managing Employee Mar 1, 2021
Adp of the SNF Dec 26, 2024
Rebecca B Bodie Individual Corporate OfficerEvp and Chief Operating Officer Mar 2, 2020
Advocat Finance, LLC Organization, Brentwood, TN LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 29, 2013 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1972844744",
    "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": "400 SUNSET DR",
            "city": "COUNCIL GROVE",
            "state": "KS",
            "postal_code": "668461554",
            "telephone_number": "620-767-5172",
            "fax_number": "620-767-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSICARE OF COUNCIL GROVE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVERSICARE KANSAS LLC",
        "enumeration_date": "2013-03-04",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversicare of Council Grove",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diversicare of Council Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Council Grove, KS

Sources for this page

Verify at the official NPI Registry.