Diversicare of Montgomery, LLC
NPI 1366997454 · Skilled Nursing Facility · Montgomery, AL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Diversicare of Montgomery, LLC is a Skilled Nursing Facility organization in Montgomery, AL (NPI 1366997454).
Provider details
- NPI number
- 1366997454
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Diversicare Leasing Company III, LLC
- Organization subpart
- Yes
- Authorized official
- Matthew Weishaar, Chief Financial Officer(615) 550-9459
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Mailing address
Other names (DBA / former)
- Doing business as
- Diversicare of Montgomery
- Doing business as
- Diversicare of Montgomery
Registry dates
- Enumerated
- 2016-08-18
- Last updated
- 2023-04-07
- Certified
- 2023-04-07
Frequently asked questions
- What is Diversicare of Montgomery, LLC's NPI number?
- Diversicare of Montgomery, LLC's National Provider Identifier (NPI) is 1366997454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Diversicare of Montgomery, LLC?
- Diversicare of Montgomery, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Diversicare of Montgomery, LLC located?
- Diversicare of Montgomery, LLC's practice location on file with NPPES is 2020 N Country Club Dr, Montgomery, AL 36106-1614.
- What is Diversicare of Montgomery, LLC's phone number?
- The practice phone number listed in the NPPES registry for Diversicare of Montgomery, LLC is (334) 263-1643.
- Does Diversicare of Montgomery, LLC accept Medicare?
- Diversicare of Montgomery, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Diversicare of Montgomery, LLC?
- The authorized official listed on Diversicare of Montgomery, LLC's NPPES record is Matthew Weishaar, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Diversicare of Montgomery, LLC's NPI active?
- Yes — Diversicare of Montgomery, LLC's NPI (1366997454) is active in the NPPES registry as of the last update on 2023-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.