Diversicare Leasing Corp.
Diversicare Leasing Corp. is a healthcare organization registered as Skilled Nursing Facility in Malvern, AR, holding Type 2 (organization) NPI 1750379335 since 2005. The authorized official on file is Raymond Tyler, Executive Vice President and Coo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1750379335 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Diversicare Leasing Corp. |
| Other name | <Unavail> |
| Practice address | 105 RUSSELLVILLE RD, Malvern, AR, 72104 |
| Phone | 5013325251 |
| Fax | 5013379354 |
| Enumeration date | 2005-10-08 |
| 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 | 542 | AR |
Copy-ready billing details
Provider: Diversicare Leasing Corp. NPI: 1750379335 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 105 RUSSELLVILLE RD, Malvern, AR, 72104
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1083047922 | Malvern Operations, LLC | Organization | Skilled Nursing Facility | Malvern, AR |
Verify this record
Cross-check NPI 1750379335 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
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Where is Diversicare Leasing Corp. located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.