NPI 1366997454 · live from the CMS NPI Registry
Diversicare Of Montgomery, LLC
Skilled Nursing Facility in Montgomery, AL. National Provider Identifier 1366997454, active.
NPI record
| NPI | 1366997454 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 2020 N Country Club Dr, Montgomery, AL 36106 |
| Practice phone | 334-263-1643 |
| Mailing address | 730 Cool Springs Blvd Ste 200, Franklin, TN 37067 |
| Enumerated | August 18, 2016 |
| Last updated | September 3, 2026 |
| Authorized official | Matthew Weishaar, Chief Financial Officer & Secretary |
| Other names | Diversicare Of Montgomery |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.