DO
DIVERSICARE OF TYLERTOWN, LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
TYLERTOWN, MS
Licensed since
2016
Rate
—
Federal compliance record
Total fines$0
Payment denials / penalties0
Abuse flagNone on record
Federal identifiers
NPI registry number1083169072
CMS Certification Number (CCN)255100
Agency details
Avg residents / day47.9
OwnershipFor profit - Limited Liability company
Chain affiliationDIVERSICARE HEALTHCARE
Parent orgDIVERSICARE LEASING COMPANY III, LLC
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameMATTHEW WEISHAAR
TitleCHIEF FINANCIAL OFFICER
Phone6018762107
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Source: NPI Registry · Last refreshed June 24, 2026