P Praxis·MD
● Active Type 2 · Organization Subpart

Diversicare Doctors Llc

Skilled Nursing Facility·Dallas, TX· NPI 1962602805 · Enumerated 2007 · 18 years on NPI
Diversicare Doctors Llc is 1 of 3272 skilled nursing facility organizations in Texas.
NPI age
18 years
Enumerated 2007-07-19
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Weishaar
Chief Financial Officer
Last NPPES update
2023-04-07
Source: monthly bulk 2026-05

How this organization compares

Across 3272 active skilled nursing facility providers in Texas.

NPI age
18 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-07Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
9009 White Rock Trl
Dallas, TX 752383347
📞 2143553300fax 6156207875
Mailing address
1621 Galleria Blvd
Brentwood, TN 370272926
📞 2147717575fax 6159156935

Authorized official

Matthew J. Weishaar
Chief Financial Officer
📞 6155509459

Individual providers at this organization

12 individual providers on file at this primary practice address.

Specialties

  • Skilled Nursing Facility Primary
    (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...
    TX license #130500 taxonomy 314000000X

Identifiers

TypeValueNotes
05 (TX) 001015188

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Diversicare of Lake Highlands
    Type code 3 recorded 2023-04-07
  • Diversicare of Lake Highlands
    Type code 3 recorded 2016-08-30

Practice context

Multi-provider organization. 12 individual providers on file at this primary address.

Subpart of Diversicare Texas I, Llc.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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