Diversicare Leasing Corp.
Diversicare Leasing Corp. is a healthcare organization registered as Skilled Nursing Facility in Grayson, KY, holding Type 2 (organization) NPI 1093703308 since 2005. The authorized official on file is Raymond Tyler, Executive Vice President and Coo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093703308 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Diversicare Leasing Corp. |
| Other name | <Unavail> |
| Practice address | 250 MCDAVID BLVD, Grayson, KY, 41143 |
| Phone | 6064747835 |
| Fax | 6064748114 |
| Enumeration date | 2005-10-11 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Raymond Tyler |
|---|---|
| Title | Executive Vice President and Coo |
| Phone | 6157717575 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 100571 | KY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12503132 | Medicaid | KY | — |
Copy-ready billing details
Provider: Diversicare Leasing Corp. NPI: 1093703308 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 250 MCDAVID BLVD, Grayson, KY, 41143
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1003981911 | Tiffany Noble | Individual | Speech-Language Pathologist | Grayson, KY |
| 1144692997 | Patricia Wortley | Individual | Audiologist | Grayson, KY |
| 1467819292 | Leigh Setliff | Individual | Occupational Therapist | Grayson, KY |
| 1740647395 | Kristin Bowens | Individual | Occupational Therapist | Grayson, KY |
| 1366801854 | Erica Hughes | Individual | Occupational Therapist | Grayson, KY |
| 1710487350 | Greg Mayhorn | Individual | Geriatric Physical Therapist | Grayson, KY |
| 1093203200 | Christopher Dunn | Individual | Gerontology Occupational Therapist | Grayson, KY |
| 1871148841 | Carter Nursing and Rehabilitation LLC | Organization | Skilled Nursing Facility | Grayson, KY |
Verify this record
Cross-check NPI 1093703308 against the authoritative CMS record: view Diversicare Leasing Corp. 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 Leasing Corp. located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.