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Diversicare Leasing Corp.

Skilled Nursing Facility in Sandy Hook, KY · enumerated 2005 · authorized official Raymond Tyler, Executive Vice President and Coo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720076771

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Registry record

Entity type Organization (Type 2)
Legal business name Diversicare Leasing Corp.
Other name <Unavail>
Practice address Rte 32 E Howard Creek Rd, Sandy Hook, KY, 41171
Phone (606) 738-9400
Fax (606) 738-9410
Enumeration date Oct 12, 2005
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 100690 (KY) Primary

Authorized official

Name Raymond Tyler
Title Executive Vice President and Coo
Phone (615) 771-7575

Other identifiers

Identifier Type State Issuer
12503066 Medicaid KY -

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.

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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 1720076771, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.