DAC OF COPPERHILL LLC
NPI 1003629809
Skilled Nursing Facility in Copperhill, TN

Active since January 28, 2025CLIA 44D2278196 · Waiver
166 INDUSTRIAL DR, COPPERHILL, TN 37317(423) 496-3245 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dac Of Copperhill Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAC OF COPPERHILL LLC (NPI 1003629809), doing business as Diversicare Of Copper Basin, is a healthcare organization registered as a skilled nursing facility in Copperhill, Tennessee and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Matthew J. Weishaar, Chief Financial Officer And Secreta, as its authorized official.

NPPES Registry Identity

NPI1003629809
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDAC OF COPPERHILL LLC
Location Address166 INDUSTRIAL DRCopperhill, TN 37317-5632
Mailing Address1621 Galleria BlvdBrentwood, TN 37027-2926 · (615) 550-9453
Organization SubpartNo
Authorized OfficialMatthew J. WeishaarChief Financial Officer And Secreta · (615) 771-7575
Enumeration DateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
NPI 1003629809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
166 INDUSTRIAL DR, Copperhill, TN 37317

Other Names 1

Doing Business AsDiversicare Of Copper Basin

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2278196

Dac Of Copperhill LLC Dba Diversicare Of Copper Basin · Ducktown, TN
Active · expires Mar 13, 2027
CLIA Number44D2278196
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorBrent C. Fair
Laboratory Phone(423) 496-3245
Laboratory LocationDac Of Copperhill LLC Dba Diversicare Of Copper Basin166 Industrial Drive, Ducktown, TN 37326
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dac Of Copperhill LLC's NPI number?

The NPI number for Dac Of Copperhill LLC is 1003629809. It was assigned to this organization in the NPPES registry on January 28, 2025. The provider is doing business as Diversicare of Copper Basin.

Where is Dac Of Copperhill LLC located?

Dac Of Copperhill LLC is located at 166 Industrial Dr, Copperhill, TN 37317. The listed phone number is (423) 496-3245.

What is Dac Of Copperhill LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Dac Of Copperhill LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2278196) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dac Of Copperhill LLC was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.