Healthcare Provider Details

I. General information

NPI: 1518330315
Provider Name (Legal Business Name): KINDRED HOSPITALS EAST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2015
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1859 VAN BUREN ST 2ND FL
HOLLYWOOD FL
33020-5127
US

IV. Provider business mailing address

1859 VAN BUREN ST FL 2
HOLLYWOOD FL
33020-5127
US

V. Phone/Fax

Practice location:
  • Phone: 954-920-9000
  • Fax: 954-926-3887
Mailing address:
  • Phone: 954-920-9000
  • Fax: 954-926-3887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

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