Organization
DIVERSICARE OF SEINA WOODS, LLC
Active
Parent organization
DIVERSICARE LEASING COMPANY II, LLC
Other names
Diversicare of Siena Woods
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVERSICARE LEASING COMPANY II, LLC
Authorized official
KELLY J GILL (PRESIDENT AND CEO)
(615) 771-7575
Entity
Organization
Contact information
Practice address
6125 N MAIN ST, DAYTON, OH 45415-3110
(937) 278-8211
(937) 278-8046
Mailing address
6125 N MAIN ST, DAYTON, OH 45415-3110
(937) 278-8211
(937) 278-8046
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2379R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36-5819
MEDICARE
OH
Enumeration date
04/27/2015
Last updated
04/27/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us