MEDICARE: KINDRED HEALTHCARE OPERATING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician

General Provider Information

NPI Number	:	1043502370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINDRED HEALTHCARE OPERATING, LLC

Provider Business Mailing Address
First Line	:	680 S 4TH ST
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40202-2407
Country	:	US
Telephone Number	:	502-596-7358
Fax Number	:	833-501-9731

Provider Business Practice Location Address
First Line	:	4058 W MELROSE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-4799
Country	:	US
Telephone Number	:	773-736-7000
Fax Number	:	502-596-4150

Authorized Official
Title or Position	:	DVP REVENUE CYCLE
Name	:	LINDA L FISHER
Credential	:
Telephone Number	:	502-596-7358

Provider Enumeration Date	:	05/04/2011
Last Update Date	:	02/22/2021

Similar Medicare Providers

1447589981 — KND DEVELOPMENT 59 LLC
Practice Location Address:

4058 W MELROSE ST
CHICAGO, IL
60641-4799

Practice Phone: 773-736-7000
Practice Fax: 833-501-9731

1073834958 — PF DEVELOPMENT 6 LLC
Practice Location Address:

4058 W MELROSE ST
CHICAGO, IL
60641-4799

Practice Phone: 773-736-7000
Practice Fax: 773-202-4355

1841670312 — MRS. YVONNE M CIKANEK OTR/L
Practice Location Address:

4058 W MELROSE ST
CHICAGO, IL
60641-4799

Practice Phone: 773-481-5716
Practice Fax:

1700492014 — KINDRED THC NORTH SHORE, LLC
Practice Location Address:

4058 W MELROSE ST
CHICAGO, IL
60641-4799

Practice Phone: 773-736-7000
Practice Fax: 773-202-4355

1679628143 — JAPANESE AMERICAN SERVICE COMMITTEE
Practice Location Address:

5700 N LINCOLN AVE
CHICAGO, IL
60659-4799

Practice Phone: 773-275-0097
Practice Fax: 773-275-0958

1063262236 — JUSTIN ANDREW SAMANIEGO ARCILLA PT, DPT
Practice Location Address:

4445 W IRVING PARK RD STE 300
CHICAGO, IL
60641-2808

Practice Phone: 630-933-1500
Practice Fax: 630-933-1550

Directions to “KINDRED HEALTHCARE OPERATING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.