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Diversicare Leasing Corp.

Diversicare Leasing Corp. is a healthcare organization registered as Skilled Nursing Facility in Greenup, KY, holding Type 2 (organization) NPI 1265420483 since 2005. The authorized official on file is Raymond Tyler, Executive Vice President and Coo.

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NPI 1265420483
Entity type Organization (Type 2)
Legal business name Diversicare Leasing Corp.
Other name <Unavail>
Practice address 100 WURTLAND AVE, Greenup, KY, 41144
Phone 6068360931
Fax 6068335605
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 100449 KY

Other identifiers

Identifier Type State Issuer
12503009 Medicaid KY
Copy-ready billing details
Provider: Diversicare Leasing Corp.
NPI: 1265420483
Taxonomy: 314000000X (Skilled Nursing Facility)
Address: 100 WURTLAND AVE, Greenup, KY, 41144

Providers at this address

NPI Name Type Specialty Location
1093172355 Patrick Click Individual Physical Therapy Assistant Wurtland, KY
1851758148 Kirk Macdonald Individual Physical Therapy Assistant Greenup, KY
1417314568 Melissa Kennard Individual Occupational Therapist Wurtland, KY
1548627656 Ashli Westfall Individual Speech-Language Pathologist Wurtland, KY
1780194571 Ryann Wesney Individual Physical Therapist Wurtland, KY
1750936621 Wurtland Nursing and Rehabilitation LLC Organization Skilled Nursing Facility Wurtland, KY

Verify this record

Cross-check NPI 1265420483 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.?
NPPES lists Raymond Tyler (Executive Vice President and Coo) as the authorized official for this organization.
What is the NPI number for Diversicare Leasing Corp.?
The NPI for Diversicare Leasing Corp. is 1265420483, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.