Active NPI
Diversicare of Council Grove LLC
- Skilled Nursing Facility
- Council Grove, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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 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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Grove
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 1, 1993
- Medicare certification status
- Active
- Certified beds
- 60
- Chain
- Diversicare Healthcare
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 |
|---|---|---|---|
| 17D0450746 | Diversicare of Council Grove | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Franklin Scott Kellman | Corporate Director | Sep 13, 2024 | |
| Lora a Siegle | Contracted Managing Employee | Jun 15, 2016 | |
| Adp of the SNF | Dec 26, 2024 | ||
| Stephen Michael Nee | Corporate Officer | Feb 20, 2023 | |
| Diversicare Management Services LP. | 5% Or Greater Indirect Ownership Interest | Jan 29, 2013 | 100% |
| Operational/Managerial Control | Dec 6, 2024 | ||
| Eran Ratner | Corporate Officer | Sep 13, 2024 | |
| Corporate Director | Nov 19, 2021 | ||
| Matthew J Weishaar | Corporate Officer | Dec 1, 2003 | |
| Diversicare Kansas LLC | 5% Or Greater Direct Ownership Interest | Jan 29, 2013 | 100% |
| Diversicare Healthcare Services LLC | 5% Or Greater Indirect Ownership Interest | May 10, 1994 | 100% |
| Dac Acquisition LLC | 5% Or Greater Indirect Ownership Interest | Nov 19, 2021 | 100% |
| Brian Kohn | Corporate Director | Nov 19, 2021 | |
| Diversicare Holding Company LLC | 5% Or Greater Indirect Ownership Interest | Jan 29, 2013 | |
| Dac Newcorp Inc | 5% Or Greater Indirect Ownership Interest | Apr 4, 2022 | 100% |
| Brad Fischer | W-2 Managing Employee | Mar 1, 2021 | |
| Adp of the SNF | Dec 26, 2024 | ||
| Rebecca B Bodie | Corporate Officer | Mar 2, 2020 | |
| Advocat Finance, LLC | 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.
-
- Family Medicine Physician
- Council Grove, KS
- NPI 1407815376
Adp of the SNF, Contracted Managing Employee
Facilities with the same owner 42
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Chanute, KS
- NPI 1073854840
Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Holding Company LLC, Diversicare Kansas LLC, Diversicare Management Services LP.
-
- Skilled Nursing Facility
- Haysville, KS
- NPI 1043551815
Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Holding Company LLC, Diversicare Kansas LLC, Diversicare Management Services LP.
-
- Skilled Nursing Facility
- Hutchinson, KS
- NPI 1164828174
Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Holding Company LLC, Diversicare Kansas LLC, Diversicare Management Services LP.
-
- Skilled Nursing Facility
- Larned, KS
- NPI 1306187174
Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Holding Company LLC, Diversicare Kansas LLC, Diversicare Management Services LP.
-
- Skilled Nursing Facility
- Sedgwick, KS
- NPI 1932440708
Advocat Finance, LLC, Dac Acquisition LLC, Dac Newcorp Inc, Diversicare Healthcare Services LLC, Diversicare Holding Company LLC, Diversicare Kansas LLC, Diversicare Management Services LP.
-
- Skilled Nursing Facility
- Alabaster, AL
- NPI 1801553185
Diversicare Management Services LP.
-
- Skilled Nursing Facility
- Copperhill, TN
- NPI 1003629809
Dac Acquisition LLC, Diversicare Management Services LP.
-
- Skilled Nursing Facility
- Greensboro, AL
- NPI 1417690157
Diversicare Management Services LP.
-
- Skilled Nursing Facility
- Moss Point, MS
- NPI 1427708338
Dac Acquisition LLC, Diversicare Management Services LP.
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Council Grove, KS
- NPI 1356802003
-
- Family Medicine Physician
- Council Grove, KS
- NPI 1689055667
-
- Family Medicine Physician
- Council Grove, KS
- NPI 1407815376
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
- 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.