Diversicare of Canon City, LLC
NPI 1497134456ActiveOrganization· Skilled Nursing Facility· Canon City, CO
Skilled Nursing Facility in Canon City, Colorado, registered in NPPES in May 2015, part of Diversicare Leasing Company II, LLC. The authorized official on file is Kelly J. Gill, President & Ceo.
Overview
| NPI | 1497134456 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Diversicare Leasing Company II, LLC |
| NPI issued | May 23, 2015 |
| Last updated in NPPES | May 23, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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