| Name: | Diversicare Leasing LP |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Partnership |
| Status: | Exists |
| Date of registration: | 04 Feb 1987 (38 years ago) (Companies founded in February 1987) |
| Entity Number: | 000-901-679 |
| Register Number: | 000901679 |
| Historical Names: |
Diversicare Leasing Corp.
|
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Tennessee |
| Principal Address: | 1621 GALLERIA BLVD.BRENTWOOD, TN 37027 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
Activities
OWN
OPERATE & MANAGE NURSING HOMES & RETIREMENT CENTERS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821086562 | 2005-10-06 | 2023-01-20 | 4320 JUDITH LN SW, HUNTSVILLE, AL, 358053363, US | 4320 JUDITH LN SW, HUNTSVILLE, AL, 358053363, US | |||||||||||||||||||||||||
|
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| Phone | +1 256-837-1730 |
| Fax | 2564303287 |
Authorized person
| Name | MATTHEW J. WEISHAAR |
| Role | CHIEF FINANCIAL OFFICER & SECRETARY |
| Phone | 6157717575 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | N4504 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 47-57660S |
| State | AL |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5KEZ5 | Active | Non-Manufacturer | 2009-07-06 | 2024-10-10 | 2025-01-08 | 2021-01-07 | |||||||||||||||
|
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| POC | BRENDA WIMSATT |
| Phone | +1 615-771-7575 |
| Fax | +1 615-620-7875 |
| Address | 1720 KNOWLES RD, PHENIX CITY, AL, 36869 7135, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY INC. | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2022-04-21 | Name Change | Diversicare Leasing Corp. | Diversicare Leasing LP |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DELIVERY ORDER | AWARD | VA25612J0755 | 2012-01-19 | 2012-03-31 | 2016-09-30 | |||||||||||||||||||||||||
|
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| Obligated Amount | 267772.17 |
| Current Award Amount | 267772.17 |
| Potential Award Amount | 267772.17 |
Description
| Title | CONTRACTOR TO PROVIDE NURSING HOME SERVICES |
| NAICS Code | 623110: NURSING CARE FACILITIES |
| Product and Service Codes | Q402: MEDICAL- NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | DIVERSICARE LEASING CORP. |
| UEI | JE1MDTKUL674 |
| Recipient Address | UNITED STATES, 4164 HALLS MILL RD, MOBILE, MOBILE, ALABAMA, 366935614 |
| Unique Award Key | CONT_IDV_VA256BO0212_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 0.00 |
| Potential Award Amount | 1091970.00 |
Description
| Title | CONTRACTOR TO PROVIDE NURSING HOME SERVICES |
| NAICS Code | 623110: NURSING CARE FACILITIES |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | DIVERSICARE LEASING CORP. |
| UEI | JE1MDTKUL674 |
| Recipient Address | UNITED STATES, 4164 HALLS MILL RD, MOBILE, MOBILE, ALABAMA, 366935614 |
| Unique Award Key | CONT_AWD_V520P7007_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | NURSING HOME SERVICES, EXERCISE 3RD OPTION |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | DIVERSICARE LEASING CORP. |
| UEI | JE1MDTKUL674 |
| Legacy DUNS | 029275687 |
| Recipient Address | UNITED STATES, 4164 HALLS MILL RD, MOBILE, 366935614 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
