Diversicare Estates LLC
Diversicare Estates LLC is a healthcare organization registered as Skilled Nursing Facility in Fort Worth, TX, holding Type 2 (organization) NPI 1053511998 since 2007. The authorized official on file is Kelly Gill, President and Ceo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1053511998 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Diversicare Estates LLC |
| Other name | <Unavail> |
| Parent organization | Advocat Inc. |
| Practice address | 201 SYCAMORE SCHOOL RD, Fort Worth, TX, 76134 |
| Phone | 8172937610 |
| Fax | 8172935766 |
| Enumeration date | 2007-07-19 |
| Last updated in NPPES | 2012-08-04 |
Authorized official
| Name | Kelly Gill |
|---|---|
| Title | President and Ceo |
| Phone | 6157717575 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 114048 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67-5028 | Other | TX | MEDICARE SNF |
Copy-ready billing details
Provider: Diversicare Estates LLC NPI: 1053511998 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 201 SYCAMORE SCHOOL RD, Fort Worth, TX, 76134
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1093834970 | Anna Manzano | Individual | Clinical Social Worker | Fort Worth, TX |
| 1720445976 | Andrea Spencer | Individual | Speech-Language Pathologist | Fort Worth, TX |
| 1013628759 | West Wharton County Hospital District | Organization | Skilled Nursing Facility | Fort Worth, TX |
Verify this record
Cross-check NPI 1053511998 against the authoritative CMS record: view Diversicare Estates LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Diversicare Estates LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-08-04.