DIVERSICARE OF MERIDIAN
NPI 1639624620
Skilled Nursing Facility in Meridian, MS

Active since August 18, 2016CLIA 25D0675213 · Waiver
2/5
Overall Rating
4728 HIGHWAY 39 N, MERIDIAN, MS 39301(601) 482-8151(601) 482-5206 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2023, Feb 9, 2017, Aug 18, 2016 (3 updates tracked since 2016).

About Diversicare Of Meridian NPPES

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

DIVERSICARE OF MERIDIAN (NPI 1639624620) is a healthcare organization registered as a skilled nursing facility in Meridian, Mississippi and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Matthew J Weishaar, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1639624620
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDIVERSICARE OF MERIDIAN, LLC
Location Address4728 HIGHWAY 39 NMeridian, MS 39301-1015
Mailing Address1621 Galleria BlvdBrentwood, TN 37027-2926 · (615) 550-9453 · Fax (615) 915-6935
Fax(601) 482-5206
Organization SubpartYesParent: Diversicare Leasing Company Iii, Llc
Authorized OfficialMatthew J WeishaarChief Financial Officer · (615) 550-9459
Enumeration DateAugust 18, 2016
Last NPPES UpdateApril 7, 20233 updates tracked since enumeration
NPPES CertifiedApril 7, 2023
NPI 1639624620 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 MS · 376
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.
4728 HIGHWAY 39 N, Meridian, MS 39301

Other Names 1

Doing Business AsDiversicare Of Meridian

Other Identifiers 1

Medicaid00023020MS

Accepted Insurance

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 25D0675213

Diversicare Of Meridian, LLC · Meridian, MS
Active · expires Aug 31, 2026
CLIA Number25D0675213
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLisa L. Fairchild
Laboratory Phone(601) 482-8151
Laboratory LocationDiversicare Of Meridian, LLC4728 Highway 39 North, Meridian, MS 39301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Diversicare Of Meridian (CMS certification number 255118), from CMS Care Compare.

Diversicare Of Meridian

Nursing home · Meridian, MS
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number255118
Certified Beds120 beds89 residents per day on average
Medicare & Medicaid Participant SinceJune 1, 1989
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
34
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.83 · LPN 0.68 · RN 0.74
3.26 hrs per resident per day
Weekend Nurse Staffing
2.8 hrs per resident per day
Physical Therapist Staffing
0.03 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
41.2%
Registered Nurse Turnover
21.4%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
2
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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.

Physical Therapist
4728 HIGHWAY 39 N
MERIDIAN, MS 39301
Speech-Language Pathologist
4728 HIGHWAY 39 N
MERIDIAN, MS 39301
Speech-Language Pathologist
4728 HIGHWAY 39 N
MERIDIAN, MS 39301
Nurse Practitioner (Family)
4728 HIGHWAY 39 N
MERIDIAN, MS 39301

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 Meridian, LLC's NPI number?

The NPI number for Diversicare Of Meridian, LLC is 1639624620. It was assigned to this organization in the NPPES registry on August 18, 2016. The provider is doing business as Diversicare Of Meridian.

Where is Diversicare Of Meridian, LLC located?

Diversicare Of Meridian, LLC is located at 4728 Highway 39 N, Meridian, MS 39301. The listed phone number is (601) 482-8151.

What is Diversicare Of Meridian, LLC's specialty?

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

Does Diversicare Of Meridian, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0675213) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Diversicare Of Meridian, LLC a Medicare-certified nursing home?

Yes. Diversicare Of Meridian is a Medicare-certified nursing home with 120 certified beds.

What quality rating does Diversicare Of Meridian, LLC have?

CMS rates Diversicare Of Meridian 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Diversicare Of Meridian, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Diversicare Of Meridian, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diversicare Of Meridian, LLC was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.