DO
DIVERSICARE OF SOUTHAVEN, LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
SOUTHAVEN, MS
Licensed since
2016
Rate
—
Federal compliance record
Total fines$59,175
Payment denials / penalties8
Abuse flagNone on record
Federal identifiers
NPI registry number1801341896
CMS Certification Number (CCN)255109
Agency details
Avg residents / day131.5
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
Phone6623930050
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Source: NPI Registry · Last refreshed June 24, 2026