SOUTH SHORE NURSING & REHABILITATION CENTER
NPI 1477541688
Skilled Nursing Facility in South Shore, KY
About South Shore Nursing & Rehabilitation Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH SHORE NURSING & REHABILITATION CENTER (NPI 1477541688) is a healthcare organization registered as a skilled nursing facility in South Shore, 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
Specialties & Licenses
Other Names 1
Other Identifiers 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 18D0324849
South Shore Nursing And Rehabilitation, LLC · South Shore, KYFrequently 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 1477541688. It was assigned to this organization in the NPPES registry on October 11, 2005. The provider is doing business as South Shore Nursing & Rehabilitation Center.
Where is Diversicare Leasing Corp. located?
Diversicare Leasing Corp. is located at 489 James Hannah Drive, South Shore, KY 41175. The listed phone number is (606) 932-3127.
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 18D0324849) 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.