Provider Demographics
NPI:1356639850
Name:KND DEVELOPMENT 59 LLC
Entity Type:Organization
Organization Name:KND DEVELOPMENT 59 LLC
Other - Org Name:4859 KH HOUSTON NORTH
Other - Org Type:Other Name
Authorized Official - Title/Position:DVP REVENUE CYCLE HD
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:FURGERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-596-6463
Mailing Address - Street 1:680 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-2407
Mailing Address - Country:US
Mailing Address - Phone:502-596-7300
Mailing Address - Fax:502-596-4150
Practice Address - Street 1:7407 NORTH FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-1314
Practice Address - Country:US
Practice Address - Phone:832-200-6000
Practice Address - Fax:502-596-4150
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KINDRED HEALTHCARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-07-18
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX343703OtherMEDICARE