Provider Demographics
NPI:1376176503
Name:KINDRED HOSPITALS EAST, LLC
Entity Type:Organization
Organization Name:KINDRED HOSPITALS EAST, LLC
Other - Org Name:KINDRED HOSPITAL - SOUTH FLORIDA FT. LAUDERDALE (ACUTE REHAB UNIT)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT, CORPORATE SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:TEAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:629-253-5121
Mailing Address - Street 1:1516 E LAS OLAS BLVD
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-2346
Mailing Address - Country:US
Mailing Address - Phone:954-764-8900
Mailing Address - Fax:954-522-1971
Practice Address - Street 1:1516 E LAS OLAS BLVD
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-2346
Practice Address - Country:US
Practice Address - Phone:954-764-8900
Practice Address - Fax:954-522-1971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-17
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4440OtherHOSPITAL LICENSE