Provider Demographics
NPI:1417026980
Name:KINDRED HOSPITALS LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:KINDRED HOSPITALS LIMITED PARTNERSHIP
Other - Org Name:KINDRED HOSPITAL - LOUISVILLE
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 1:1313 SAINT ANTHONY PL
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40204-1740
Mailing Address - Country:US
Mailing Address - Phone:502-587-7001
Mailing Address - Fax:502-587-0060
Practice Address - Street 1:1313 SAINT ANTHONY PL
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204-1740
Practice Address - Country:US
Practice Address - Phone:502-587-7001
Practice Address - Fax:502-587-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000288194OtherBLUE CROSS
KY12503249Medicaid
KY1049521OtherPASSPORT KY MCD
KY12503249Medicaid
KY000000288194OtherBLUE CROSS
KY=========OtherCIGNA
KY=========OtherCHAMPUS VA
KY=========OtherGREAT WEST
KY=========OtherSTATE FARM
KY=========OtherUNITED HEALTHCARE
KY=========OtherAETNA
18-5361Medicare Oscar/Certification