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NPI Code Detail

MEDICARE: KINDRED HOSPITALS EAST, LLC

MEDICARE: KINDRED HOSPITALS EAST, 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
1282N00000XGeneral Acute Care Hospital
2282E00000XLong Term Care Hospital4177FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1201OTHERFLBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811072341
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINDRED HOSPITALS EAST, LLC
Provider Business Mailing Address
First Line : 1859 VAN BUREN ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-5127
Country : US
Telephone Number : 954-920-9000
Fax Number : 954-926-3887
Provider Business Practice Location Address
First Line : 1859 VAN BUREN ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-5127
Country : US
Telephone Number : 954-920-9000
Fax Number : 954-926-3887
Authorized Official
Title or Position : VICE PRESIDENT, CORPORATE SECRETARY
Name : KATHY TEAGUE
Credential :
Telephone Number : 629-253-5121
Provider Enumeration Date : 10/25/2006
Last Update Date : 03/11/2024

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