OrganizationActive
Diversicare of Fulton, LLC
NPI 1306218839 · Skilled Nursing Facility · Fulton, KY
Diversicare of Fulton, LLC is a Skilled Nursing Facility organization in Fulton, KY (NPI 1306218839).
Provider details
- NPI number
- 1306218839
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Diversicare Holding Company, LLC
- Organization subpart
- Yes
- Authorized official
- Kelly Gill, President and Ceo(615) 771-7575
- License
- 100132 (KY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1004 Holiday Ln
Fulton, KY 42041-8458
Phone: (270) 472-1971
Fax: (270) 472-3375
Street-level locationGet directions
Mailing address
1004 Holiday Ln
Fulton, KY 42041-8458
Other names (DBA / former)
- Doing business as
- Diversicare of Fulton
Registry dates
- Enumerated
- 2015-10-23
- Last updated
- 2016-05-01
Frequently asked questions
- What is Diversicare of Fulton, LLC's NPI number?
- Diversicare of Fulton, LLC's National Provider Identifier (NPI) is 1306218839, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Diversicare of Fulton, LLC?
- Diversicare of Fulton, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Diversicare of Fulton, LLC located?
- Diversicare of Fulton, LLC's practice location on file with NPPES is 1004 Holiday Ln, Fulton, KY 42041-8458.
- What is Diversicare of Fulton, LLC's phone number?
- The practice phone number listed in the NPPES registry for Diversicare of Fulton, LLC is (270) 472-1971.
- Who is the authorized official for Diversicare of Fulton, LLC?
- The authorized official listed on Diversicare of Fulton, 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 of Fulton, LLC's NPI active?
- Yes — Diversicare of Fulton, LLC's NPI (1306218839) is active in the NPPES registry as of the last update on 2016-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.