MEDICARE: KINDRED HOSPITALS LIMITED PARTNERSHIP

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	282E00000X	Long Term Care Hospital	008007	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HH1077	OTHER	TX	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598834566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINDRED HOSPITALS LIMITED PARTNERSHIP

Provider Business Mailing Address
First Line	:	680 S 4TH ST
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40202-2407
Country	:	US
Telephone Number	:	502-596-6063
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 8TH AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2609
Country	:	US
Telephone Number	:	817-332-4812
Fax Number	:	817-332-8843

Authorized Official
Title or Position	:	AO
Name	:	JOHNETTA TRAYLOR
Credential	:
Telephone Number	:	502-596-6063

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	06/26/2025

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