Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Diversicare Leasing Corp

Organization Skilled Nursing Facility · NPI 1477541688

Diversicare Leasing Corp is a Skilled Nursing Facility in South Shore, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.

Licensed in
KY
In the registry since
2005
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

489 James Hannah Dr
South Shore, KY 41175-0489
Phone: (606) 932-3127
Fax: (606) 932-4663
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 100156 (KY)

Record details

NPI number1477541688
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Tyler — Executive Vice President And Coo · (615) 771-7575
Other names South Shore Nursing & Rehabilitation Center
NPI enumeratedOctober 11, 2005
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 489, James Hannah Drive, South Shore, KY 41175-0489

Other providers in South Shore