Diversicare Leasing Corp.
Skilled Nursing Facility · Conway, AR
Practice location
2603 Dave Ward DrConway, AR 72034-6771
- Phone
- (501) 329-2149
- Fax
- (501) 329-4916
NPI record
- NPI
- 1104814771
- Entity type
- Organization (Type 2)
- Enumeration date
- October 7, 2005
- Last updated
- August 22, 2020
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X |
534 | AR |
Authorized official
- Name
- Raymond L. Tyler Jr.
- Title
- Executive Vice President and COO
- Phone
- (615) 771-7575
Other names
- Conway Healthcare and Rehabilitation Center
About Diversicare Leasing Corp.
Diversicare Leasing Corp. is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 2603 Dave Ward Dr, Conway, AR 72034-6771. The NPI number 1104814771 was assigned on October 7, 2005 and the record was last updated on August 22, 2020.
Diversicare Leasing Corp. lists a license in the registry: #534 (AR) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Raymond L. Tyler Jr., Executive Vice President and COO.
Frequently asked questions
What is the NPI number of Diversicare Leasing Corp.?
The NPI number is 1104814771.
What is the phone number of Diversicare Leasing Corp.?
The phone number listed for the practice location is (501) 329-2149.
Where is Diversicare Leasing Corp. located?
2603 Dave Ward Dr, Conway, AR 72034-6771.
What is the taxonomy code for Diversicare Leasing Corp.?
The primary taxonomy code is 314000000X – Skilled Nursing Facility.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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