NPI 1821086562 · live from the CMS NPI Registry
Diversicare Leasing Lp
Skilled Nursing Facility in Huntsville, AL. National Provider Identifier 1821086562, active.
NPI record
| NPI | 1821086562 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 4320 Judith Ln Sw, Huntsville, AL 35805 |
| Practice phone | 256-837-1730 |
| Enumerated | October 6, 2005 |
| Last updated | January 20, 2023 |
| Authorized official | Matthew Weishaar, Chief Financial Officer & Secretary |
| Other names | Brookshire Healthcare Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | N4504 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.