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NPI Code Detail

MEDICARE: KINDRED NURSING CENTERS WEST, LLC

MEDICARE: KINDRED NURSING CENTERS 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
1314000000XSkilled Nursing Facility220000057CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992882278
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINDRED NURSING CENTERS WEST, LLC
Provider Business Mailing Address
First Line : 680 S. 4TH STREET
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-2407
Country : US
Telephone Number : 502-596-7301
Fax Number : 502-596-4134
Provider Business Practice Location Address
First Line : 2707 PINE ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-2522
Country : US
Telephone Number : 415-563-7600
Fax Number : 415-563-1544
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : MS. MARILYN A. WEAVER
Credential :
Telephone Number : 502-596-7563
Provider Enumeration Date : 11/01/2006
Last Update Date : 09/28/2017

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