Healthcare Provider Details

I. General information

NPI: 1114002326
Provider Name (Legal Business Name): KINDRED NURSING CENTERS LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 09/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 N BROADWAY ST
KNOXVILLE TN
37917-2733
US

IV. Provider business mailing address

680 S. FOURTH ST
LOUISVILLE KY
40202-2407
US

V. Phone/Fax

Practice location:
  • Phone: 865-689-2052
  • Fax: 865-689-8670
Mailing address:
  • Phone: 502-596-6505
  • Fax: 502-596-4134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0000000148
License Number StateTN

VIII. Authorized Official

Name: MARILYN WEAVER
Title or Position: ASSISTANT SECRETARY
Credential:
Phone: 502-596-7300