Diversicare Leasing Corp.
NPI 1477541688 · Skilled Nursing Facility · South Shore, KY
Diversicare Leasing Corp. is a Skilled Nursing Facility organization in South Shore, KY (NPI 1477541688).
Provider details
- NPI number
- 1477541688
- 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
- 100156 (KY)
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
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
Mailing address
Other names (DBA / former)
- Doing business as
- South Shore Nursing & Rehabilitation Center
Registry dates
- Enumerated
- 2005-10-11
- Last updated
- 2020-08-22
Frequently asked questions
- What is Diversicare Leasing Corp.'s NPI number?
- Diversicare Leasing Corp.'s National Provider Identifier (NPI) is 1477541688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Diversicare Leasing Corp.?
- Diversicare Leasing Corp. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Diversicare Leasing Corp. located?
- Diversicare Leasing Corp.'s practice location on file with NPPES is 489 James Hannah Drive, South Shore, KY 41175-0489.
- What is Diversicare Leasing Corp.'s phone number?
- The practice phone number listed in the NPPES registry for Diversicare Leasing Corp. is (606) 932-3127.
- Who is the authorized official for Diversicare Leasing Corp.?
- The authorized official listed on Diversicare Leasing Corp.'s NPPES record is Raymond Tyler, Executive Vice President and Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Diversicare Leasing Corp.'s NPI active?
- Yes — Diversicare Leasing Corp.'s NPI (1477541688) is active in the NPPES registry as of the last update on 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.