OrganizationActive
Diversicare Leasing Corp.
NPI 1376531343 · Skilled Nursing Facility · Lockhart, TX
Provider details
- NPI number
- 1376531343
- 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
- 115093 (TX)
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
107 N Medina St
Lockhart, TX 78644-1919
Phone: (512) 398-5213
Fax: (512) 376-6880
Street-level locationGet directions
Mailing address
107 N Medina St
Lockhart, TX 78644-1919
Other names (DBA / former)
- Doing business as
- Chisolm Trail Nursing & Rehabilitation Center
Registry dates
- Enumerated
- 2005-10-12
- 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.