Diversicare Leasing Lp
Diversicare Leasing Lp is a healthcare organization registered as Skilled Nursing Facility in Phenix City, AL, holding Type 2 (organization) NPI 1306833694 since 2005. The authorized official on file is Matthew Weishaar, Chief Financial Officer & Secretary.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1306833694 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Diversicare Leasing Lp |
| Other name | <Unavail> |
| Practice address | 1720 KNOWLES RD, Phenix City, AL, 36869 |
| Phone | 3342910486 |
| Fax | 3342975816 |
| Enumeration date | 2005-10-01 |
| Last updated in NPPES | 2022-10-25 |
Authorized official
| Name | Matthew Weishaar |
|---|---|
| Title | Chief Financial Officer & Secretary |
| Phone | 6157717575 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | N5704 | AL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-57740S | Medicaid | AL | — |
Copy-ready billing details
Provider: Diversicare Leasing Lp NPI: 1306833694 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1720 KNOWLES RD, Phenix City, AL, 36869
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366809477 | Jennifer Widener | Individual | Speech-Language Pathologist | Phenix City, AL |
| 1588021604 | Briana Brown | Individual | Physical Therapist | Phenix City, AL |
| 1639536477 | Corris Horne | Individual | Occupational Therapist | Phenix City, AL |
| 1578923520 | Dorothea Harris | Individual | Nurse Practitioner | Phenix City, AL |
| 1073052403 | Alabama Post-Acute Medical Service 1 PC | Organization | Hospitalist Physician | Phenix City, AL |
| 1588166581 | Brandy Bickley | Individual | Speech-Language Pathologist | Phenix City, AL |
| 1467042671 | Rosa Niemi | Individual | Family Nurse Practitioner | Phenix City, AL |
| 1124726567 | Canterbury Aop Snf Operations LLC | Organization | Skilled Nursing Facility | Phenix City, AL |
Verify this record
Cross-check NPI 1306833694 against the authoritative CMS record: view Diversicare Leasing Lp 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
What is a Type 2 NPI?
What type of organization is Diversicare Leasing Lp?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-10-25.