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NPI Code Detail

MEDICARE: KINDRED HOSPITALS EAST, LLC

MEDICARE: KINDRED HOSPITALS EAST, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1855085555OTHERNCGREAT WEST
23402012OTHERNCHEALTH NET
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4855085555OTHERNCSECURE HORIZONS
500300OTHERNCBLUE CROSS

General Provider Information

NPI Number : 1134298615
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINDRED HOSPITALS EAST, LLC
Provider Business Mailing Address
First Line : 680 S 4TH ST
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-2407
Country : US
Telephone Number :
Fax Number : 502-212-8481
Provider Business Practice Location Address
First Line : 2401 S SIDE BLVD
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-3311
Country : US
Telephone Number : 336-271-2800
Fax Number : 336-271-2734
Authorized Official
Title or Position : DIRECTOR
Name : JOHNETTA TRAYLOR
Credential :
Telephone Number : 629-253-5121
Provider Enumeration Date : 11/07/2006
Last Update Date : 05/29/2025

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Directions to “KINDRED HOSPITALS EAST, LLC ” Practice Location

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