CARTER NURSING & REHABILITATION CENTER
NPI 1093703308
Skilled Nursing Facility in Grayson, KY

Active since October 11, 2005CLIA 18D0894602 · Waiver
250 MCDAVID BLVD, GRAYSON, KY 41143(606) 474-7835(606) 474-8114 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carter Nursing & Rehabilitation Center NPPES

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

CARTER NURSING & REHABILITATION CENTER (NPI 1093703308) is a healthcare organization registered as a skilled nursing facility in Grayson, Kentucky and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through November 16, 2026 and lists Raymond L. Tyler, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1093703308
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDIVERSICARE LEASING CORP.
Location Address250 MCDAVID BLVDGrayson, KY 41143-1603
Mailing Address250 Mcdavid BlvdGrayson, KY 41143-1603 · (606) 474-7835 · Fax (606) 474-8114
Fax(606) 474-8114
Organization SubpartNo
Authorized OfficialRaymond L. TylerExecutive Vice President And Coo · (615) 771-7575
Enumeration DateOctober 11, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1093703308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in KY · 100571
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.
250 MCDAVID BLVD, Grayson, KY 41143

Other Names 1

Doing Business AsCarter Nursing & Rehabilitation Center

Other Identifiers 1

Medicaid12503132KY

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 18D0894602

Carter Nursing & Rehabilitation, LLC · Grayson, KY
Active · expires Nov 16, 2026
CLIA Number18D0894602
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorMs. Candace Mccalvin
Laboratory Phone(606) 474-7835
Laboratory LocationCarter Nursing & Rehabilitation, LLC250 Mcdavid Blvd, Grayson, KY 41143
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
250 MCDAVID BLVD
GRAYSON, KY 41143
Occupational Therapist (Gerontology)
250 MCDAVID BLVD
GRAYSON, KY 41143
Audiologist
250 MCDAVID BLVD
GRAYSON, KY 41143
Occupational Therapist
250 MCDAVID BLVD
GRAYSON, KY 41143
Occupational Therapist
250 MCDAVID BLVD
GRAYSON, KY 41143
Physical Therapist (Geriatrics)
250 MCDAVID BLVD
GRAYSON, KY 41143
Occupational Therapist
250 MCDAVID BLVD
GRAYSON, KY 41143
Skilled Nursing Facility
250 MCDAVID BLVD
GRAYSON, KY 41143

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 Diversicare Leasing Corp.'s NPI number?

The NPI number for Diversicare Leasing Corp. is 1093703308. It was assigned to this organization in the NPPES registry on October 11, 2005. The provider is doing business as Carter Nursing & Rehabilitation Center.

Where is Diversicare Leasing Corp. located?

Diversicare Leasing Corp. is located at 250 Mcdavid Blvd, Grayson, KY 41143. The listed phone number is (606) 474-7835.

What is Diversicare Leasing Corp.'s specialty?

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

Does Diversicare Leasing Corp. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0894602) is associated with this NPI, valid through November 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Diversicare Leasing Corp. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.