Provider Demographics
NPI:1699844654
Name:KINDRED HOSPITALS LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:KINDRED HOSPITALS LIMITED PARTNERSHIP
Other - Org Name:KINDRED HOSPITAL - DALLAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:TERRANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-596-7220
Mailing Address - Street 1:9525 GREENVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-4116
Mailing Address - Country:US
Mailing Address - Phone:214-355-2600
Mailing Address - Fax:214-355-2630
Practice Address - Street 1:9525 GREENVILLE AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-4116
Practice Address - Country:US
Practice Address - Phone:214-355-2600
Practice Address - Fax:214-355-2630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000028282E00000X
282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX021001501Medicaid
TXHH0314OtherBLUE CROSS
TX=========OtherAETNA
TX=========OtherHUMANA
TX=========OtherUNITED HEALTHCARE
TXHH0314OtherBLUE CROSS
TX=========OtherUNICARE
TX=========OtherSECURE HORIZONS
TX021001501Medicaid
TXHH0314OtherBLUE CROSS