Healthcare Provider Details

I. General information

NPI: 1629231899
Provider Name (Legal Business Name): KINDRED NURSING CENTERS EAST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 07/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S WHITEWOMAN ST
COSHOCTON OH
43812-1068
US

IV. Provider business mailing address

100 S WHITEWOMAN ST
COSHOCTON OH
43812-1068
US

V. Phone/Fax

Practice location:
  • Phone: 740-622-1220
  • Fax: 740-622-6384
Mailing address:
  • Phone: 740-622-1220
  • Fax: 740-622-6384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number6371
License Number StateOH

VIII. Authorized Official

Name: MR. ARTHUR L ROTHGERBER
Title or Position: SR VICE PRESIDENT OF REIMBURSEMENT
Credential:
Phone: 502-596-7300