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Diversicare Of Amory, LLC

Skilled Nursing Facility in Amory, MS. Organization (NPI-2).

NPI number1750836748
StatusActive
Last updated in NPPESSep 3, 2026

Details

NPI
1750836748
Entity type
Organization (NPI-2)
Legal business name
Diversicare Of Amory, LLC
Organization subpart
Yes
Enumeration date
Aug 18, 2016
Certification date
Sep 3, 2026
Last updated
Sep 3, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART A PROVIDER - SKILLED NURSING FACILITY
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility411MSYes

Other names

  • Diversicare Of Amory (Doing Business As)

Practice location

1215 Earl Frye Blvd
Amory, MS 38821-5509

Phone 662-256-9344 · Fax 662-256-9991

Mailing address

730 Cool Springs Blvd Ste 200
Franklin, TN 37067-7290

Phone 615-550-9453 · Fax 615-915-6935

Authorized official

Matthew J Weishaar
Chief Financial Officer & Secretary
6155509459

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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