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DIVERSICARE OF BOAZ LLC NPI 1396290466


NPI Information

NPI: 1396290466
Provider Name: DIVERSICARE OF BOAZ, LLC

Doing Business As: DIVERSICARE OF BOAZ

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 01D0303633

Address:
600 CORLEY AVE
BOAZ, AL
ZIP 35957
Phone: (256) 593-8380
Get Directions

DIVERSICARE OF BOAZ, LLC is a skilled nursing facility in Boaz, AL. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. DIVERSICARE OF BOAZ, LLC NPI is 1396290466. The provider is registered as an organization entity type.
The provider Is Doing Business As Diversicare Of Boaz.

The provider's business location address is:

600 CORLEY AVE
BOAZ, AL
ZIP 35957-952
Phone: (256) 593-8380
Fax: (615) 620-7875

The provider's authorized official is Kelly J Gill .
The authorized official title is Ceo and has the following contact phone number (615) 771-7575.

The CLIA number assigned to this NPI record is 01D0303633 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2016 and was last updated on 8/18/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing FacilityALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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