Healthcare Provider Details

I. General information

NPI: 1861577306
Provider Name (Legal Business Name): KINDRED HOSPITALS EAST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1516 E LAS OLAS BLVD
FT LAUDERDALE FL
33301-2346
US

IV. Provider business mailing address

1516 E LAS OLAS BLVD
FT LAUDERDALE FL
33301-2346
US

V. Phone/Fax

Practice location:
  • Phone: 954-764-8900
  • Fax: 954-522-1971
Mailing address:
  • Phone: 954-764-8900
  • Fax: 954-522-1971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number4440
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: JOHNETTA TRAYLOR
Title or Position: ADMINISTRATOR
Credential:
Phone: 502-596-6063