Diversicare Leasing Corp.

Skilled Nursing Facility · Luling, TX

Organization Active NPI

NPI number 1154310431

Practice location

Houston Highway
Luling, TX 78648-0230
Phone
(830) 875-5219
Fax
(830) 875-2919

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NPI record

NPI
1154310431
Entity type
Organization (Type 2)
Enumeration date
October 19, 2005
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X 115095 TX

Mailing address

PO Box 230
Luling, TX 78648-0230
Phone
(830) 875-5219
Fax
(830) 875-2919

Authorized official

Name
Raymond L. Tyler Jr.
Title
Executive Vice President and COO
Phone
(615) 771-7575

Other names

  • Hillcrest Manor Nursing & 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 Houston Highway, Luling, TX 78648-0230. The NPI number 1154310431 was assigned on October 19, 2005 and the record was last updated on August 22, 2020.

Diversicare Leasing Corp. lists a license in the registry: #115095 (TX) 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 1154310431.

What is the phone number of Diversicare Leasing Corp.?

The phone number listed for the practice location is (830) 875-5219.

Where is Diversicare Leasing Corp. located?

Houston Highway, Luling, TX 78648-0230.

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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