Healthcare Provider Details

I. General information

NPI: 1447337449
Provider Name (Legal Business Name): KINDRED HOSPITALS EAST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4930 LINDELL BLVD
SAINT LOUIS MO
63108-1510
US

IV. Provider business mailing address

4930 LINDELL BLVD
SAINT LOUIS MO
63108-1510
US

V. Phone/Fax

Practice location:
  • Phone: 314-361-8700
  • Fax: 314-361-1210
Mailing address:
  • Phone: 314-361-8700
  • Fax: 314-361-1210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: KATHY TEAGUE
Title or Position: VICE PRESIDENT, CORPORATE SECRETARY
Credential:
Phone: 629-253-5121