Organization · Type 2 NPI

Diversicare of Seneca Place LLC

Skilled Nursing Facility · Louisville, KY

NPI number 1013359694 Active

Practice location

3526 Dutchmans Ln
Louisville, KY 40205-3256

Fax (615) 771-7409

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

8 other providers at this address

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NPI record

NPI: 1013359694
Entity type: Organization (Type 2)
Issued: Jul 23, 2013
Last updated: Jul 23, 2013
Status: Active
Subpart: Yes of Diversicare Leasing Company II LLC

Other names

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Diversicare of Seneca Place · doing business as

Authorized official

Kelly J Gill
President and CEO
(615) 771-7575

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013359694

Diversicare of Seneca Place LLC's National Provider Identifier is 1013359694, issued on Jul 23, 2013. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Louisville, KY. The record was last updated on Jul 23, 2013.