Diversicare Leasing Corp.
Diversicare Leasing Corp. is a healthcare organization registered as Skilled Nursing Facility in Conway, AR, holding Type 2 (organization) NPI 1104814771 since 2005. The authorized official on file is Raymond Tyler, Executive Vice President and Coo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104814771 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Diversicare Leasing Corp. |
| Other name | <Unavail> |
| Practice address | 2603 DAVE WARD DR, Conway, AR, 72034 |
| Phone | 5013292149 |
| Fax | 5013294916 |
| Enumeration date | 2005-10-07 |
| 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 | 534 | AR |
Copy-ready billing details
Provider: Diversicare Leasing Corp. NPI: 1104814771 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 2603 DAVE WARD DR, Conway, AR, 72034
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1528442258 | Faulkner Snf Operations LLC | Organization | Skilled Nursing Facility | Conway, AR |
Verify this record
Cross-check NPI 1104814771 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
Who is the authorized official for Diversicare Leasing Corp.?
What is the NPI number for Diversicare Leasing Corp.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.