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Organization
DIVERSICARE OF CHANUTE LLC
Active
Organization
DIVERSICARE OF CHANUTE LLC
Active
Parent organization
DIVERSICARE KANSAS LLC
Other names
Diversicare of Chanute
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVERSICARE KANSAS LLC
Authorized official
MATTHEW J WEISHAAR (CHIEF FINANCIAL OFFICER & SECRETARY)
(615) 550-9459
Entity
Organization
Contact information
Practice address
530 W 14TH ST, CHANUTE, KS 66720-2877
(620) 431-4940
(620) 431-4147
Mailing address
730 COOL SPRINGS BLVD STE 200, FRANKLIN, TN 37067-7290
(615) 550-9453
(615) 915-6935
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201069600A
—
KS
Enumeration date
03/04/2013
Last updated
09/03/2026
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