What is Diversicare Rose Terrace, LLC's NPI number?

Diversicare Rose Terrace, LLC's National Provider Identifier (NPI) is 1104117761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Diversicare Rose Terrace, LLC?

Diversicare Rose Terrace, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).

Where is Diversicare Rose Terrace, LLC located?

Diversicare Rose Terrace, LLC's practice location on file with NPPES is 30 Hidden Brook Way, Culloden, WV 25510.

What is Diversicare Rose Terrace, LLC's phone number?

The practice phone number listed in the NPPES registry for Diversicare Rose Terrace, LLC is (615) 771-7575.

Who is the authorized official for Diversicare Rose Terrace, LLC?

The authorized official listed on Diversicare Rose Terrace, LLC's NPPES record is Kelly Gill, President and Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Diversicare Rose Terrace, LLC's NPI active?

Yes — Diversicare Rose Terrace, LLC's NPI (1104117761) is active in the NPPES registry as of the last update on 2012-11-14.

OrganizationActive

Diversicare Rose Terrace, LLC

NPI 1104117761 · Skilled Nursing Facility · Culloden, WV

Diversicare Rose Terrace, LLC is a Skilled Nursing Facility organization in Culloden, WV (NPI 1104117761).

Provider details

NPI number: 1104117761
Entity type: Organization
Primary specialty: Skilled Nursing FacilityNursing & Custodial Care Facilities
Parent organization: Advocat Inc.
Organization subpart: Yes
Authorized official: Kelly Gill, President and Ceo(615) 771-7575
License: 183 (WV)

Practice location

30 Hidden Brook Way

Culloden, WV 25510

Phone: (615) 771-7575

Fax: (615) 620-7875

Street-level locationGet directions

More WV providers

Mailing address

30 Hidden Brook Way

Culloden, WV 25510

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000XLicense 183 (WV)
Nursing & Custodial Care Facilities

Other names (DBA / former)

Doing business as: Rose Terrace Health and Rehabilitation Center

Profile Score

Detailed profile(82/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 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.

Enumerated: 2011-04-29
Last updated: 2012-11-14

Frequently asked questions

What is Diversicare Rose Terrace, LLC's NPI number?: Diversicare Rose Terrace, LLC's National Provider Identifier (NPI) is 1104117761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Diversicare Rose Terrace, LLC?: Diversicare Rose Terrace, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
Where is Diversicare Rose Terrace, LLC located?: Diversicare Rose Terrace, LLC's practice location on file with NPPES is 30 Hidden Brook Way, Culloden, WV 25510.
What is Diversicare Rose Terrace, LLC's phone number?: The practice phone number listed in the NPPES registry for Diversicare Rose Terrace, LLC is (615) 771-7575.
Who is the authorized official for Diversicare Rose Terrace, LLC?: The authorized official listed on Diversicare Rose Terrace, LLC's NPPES record is Kelly Gill, President and Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Diversicare Rose Terrace, LLC's NPI active?: Yes — Diversicare Rose Terrace, LLC's NPI (1104117761) is active in the NPPES registry as of the last update on 2012-11-14.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions