WURTLAND NURSING & REHABILITATION CENTER
NPI 1265420483
Skilled Nursing Facility in Greenup, KY

Active since October 11, 2005CLIA 18D0648572 · Waiver
100 WURTLAND AVE, GREENUP, KY 41144(606) 836-0931(606) 833-5605 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wurtland Nursing & Rehabilitation Center NPPES

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

WURTLAND NURSING & REHABILITATION CENTER (NPI 1265420483) is a healthcare organization registered as a skilled nursing facility in Greenup, Kentucky and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Raymond L. Tyler, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1265420483
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDIVERSICARE LEASING CORP.
Location Address100 WURTLAND AVEGreenup, KY 41144-1445
Mailing Address100 Wurtland AveGreenup, KY 41144-1445 · (606) 836-0931 · Fax (606) 833-5605
Fax(606) 833-5605
Organization SubpartNo
Authorized OfficialRaymond L. TylerExecutive Vice President And Coo · (615) 771-7575
Enumeration DateOctober 11, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1265420483 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 · 100449
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.
100 WURTLAND AVE, Greenup, KY 41144

Other Names 1

Doing Business AsWurtland Nursing & Rehabilitation Center

Other Identifiers 1

Medicaid12503009KY

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 18D0648572

Wurtland Nursing And Rehabilitation, LLC · Wurtland, KY
Active · expires Aug 31, 2026
CLIA Number18D0648572
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMs. Peggie R. Rayburn
Laboratory Phone(606) 836-0931
Laboratory LocationWurtland Nursing And Rehabilitation, LLCAtnn Debbie Craft 100 Wurtland Avenue, Wurtland, KY 41144
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Physical Therapy Assistant
100 WURTLAND AVE
WURTLAND, KY 41144
Occupational Therapist
100 WURTLAND AVE
WURTLAND, KY 41144
Speech-Language Pathologist
100 WURTLAND AVE
WURTLAND, KY 41144
Skilled Nursing Facility
100 WURTLAND AVE
WURTLAND, KY 41144
Physical Therapist
100 WURTLAND AVE
WURTLAND, KY 41144
Physical Therapy Assistant
100 WURTLAND AVE
GREENUP, KY 41144

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 1265420483. It was assigned to this organization in the NPPES registry on October 11, 2005. The provider is doing business as Wurtland Nursing & Rehabilitation Center.

Where is Diversicare Leasing Corp. located?

Diversicare Leasing Corp. is located at 100 Wurtland Ave, Greenup, KY 41144. The listed phone number is (606) 836-0931.

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 18D0648572) is associated with this NPI, valid through August 31, 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.