Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diversicare of Canon City, LLC

Organization Skilled Nursing Facility · NPI 1497134456

Diversicare of Canon City, LLC is a Skilled Nursing Facility in Canon City, Colorado. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

515 Fairview Ave
Canon City, CO 81212-2863
Phone: (719) 275-0665
Fax: (615) 620-7875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1497134456
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDiversicare Leasing Company II, LLC
Authorized official Kelly Gill — President & Ceo · (615) 771-7575
Other names Diversicare Of Canon City
NPI enumeratedMay 23, 2015
Last updated in NPPESMay 23, 2015
Mailing address515 Fairview Ave, Canon City, CO 81212-2863

Other providers in Canon City