OrganizationActive
Diversicare Leasing Corp.
NPI 1093703308 · Skilled Nursing Facility · Grayson, KY
Provider details
- NPI number
- 1093703308
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Raymond Tyler, Executive Vice President and Coo(615) 771-7575
- License
- 100571 (KY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
250 Mcdavid Blvd
Grayson, KY 41143-1603
Phone: (606) 474-7835
Fax: (606) 474-8114
Street-level locationGet directions
Mailing address
250 Mcdavid Blvd
Grayson, KY 41143-1603
Other names (DBA / former)
- Doing business as
- Carter Nursing & Rehabilitation Center
Registry dates
- Enumerated
- 2005-10-11
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.