DAC OF COPPERHILL LLC
NPI 1003629809
Skilled Nursing Facility in Copperhill, TN
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
Specialties & Licenses
Other Names 1
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, TNFrequently 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.