DIVERSICARE OF FULTON
NPI 1306218839
Skilled Nursing Facility in Fulton, KY

Active since October 23, 2015
1004 HOLIDAY LN, FULTON, KY 42041(270) 472-1971(270) 472-3375 Get Directions Write a Review

NPPES record last updated: May 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diversicare Of Fulton NPPES

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

DIVERSICARE OF FULTON (NPI 1306218839) is a healthcare organization registered as a skilled nursing facility in Fulton, Kentucky and active in the NPI registry since October 2015. The organization lists Kelly J Gill, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1306218839
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDIVERSICARE OF FULTON, LLC
Location Address1004 HOLIDAY LNFulton, KY 42041-8458
Mailing Address1004 Holiday LnFulton, KY 42041-8458 · (270) 472-1971 · Fax (270) 472-3375
Fax(270) 472-3375
Organization SubpartYesParent: Diversicare Holding Company, Llc
Authorized OfficialKelly J GillPresident And Ceo · (615) 771-7575
Enumeration DateOctober 23, 2015
Last NPPES UpdateMay 1, 2016
NPI 1306218839 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 · 100132
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.
1004 HOLIDAY LN, Fulton, KY 42041

Other Names 1

Doing Business AsDiversicare Of Fulton

Other Identifiers 2

Medicaid7100395670KY
Medicare OSCAR/certification185047KY

Other Providers at the Same Location NPPES 4

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

Skilled Nursing Facility
1004 HOLIDAY LN
FULTON, KY 42041
Occupational Therapist
1004 HOLIDAY LN
FULTON, KY 42041
Skilled Nursing Facility
1004 HOLIDAY LN
FULTON, KY 42041
Occupational Therapist
1004 HOLIDAY LN
FULTON, KY 42041

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 Of Fulton, LLC's NPI number?

The NPI number for Diversicare Of Fulton, LLC is 1306218839. It was assigned to this organization in the NPPES registry on October 23, 2015. The provider is doing business as Diversicare Of Fulton.

Where is Diversicare Of Fulton, LLC located?

Diversicare Of Fulton, LLC is located at 1004 Holiday Ln, Fulton, KY 42041. The listed phone number is (270) 472-1971.

What is Diversicare Of Fulton, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Diversicare Of Fulton, LLC was last updated on May 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.