# DIVERSICARE ESTATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVOCAT INC.
- **Other names:** Estates Healthcare and Rehabilitation Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053511998
- **Legal business name:** ADVOCAT INC.
- **Authorized official:** KELLY J GILL (PRESIDENT AND CEO)
- **Authorized official phone:** (615) 771-7575

## Contact information

- **Practice address:** 201 SYCAMORE SCHOOL RD, FORT WORTH, TX 76134-5009
- **Practice address phone:** (817) 293-7610
- **Practice address fax:** (817) 293-5766
- **Mailing address:** 201 SYCAMORE SCHOOL RD, FORT WORTH, TX 76134-5009
- **Mailing address phone:** (817) 293-7610
- **Mailing address fax:** (817) 293-5766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 114048 | TX | Yes |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 08/04/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 67-5028 | MEDICARE SNF | TX |