MEDICARE: KINDRED HOSPITALS WEST, 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	282E00000X	Long Term Care Hospital	0327	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	37819KI	OTHER	CO	BLUE CROSS

General Provider Information

NPI Number	:	1861577439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINDRED HOSPITALS WEST, LLC

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

Provider Business Practice Location Address
First Line	:	1920 HIGH ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1213
Country	:	US
Telephone Number	:	303-320-5871
Fax Number	:	303-377-6212

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	06/26/2025

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