Provider Demographics
NPI:1972688471
Name:KINDRED HOSPITALS LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:KINDRED HOSPITALS LIMITED PARTNERSHIP
Other - Org Name:KINDRED HOSPITAL - LOUISVILLE AT JEWISH HOSPITAL
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 1:200 ABRAHAM FLEXNER WAY
Mailing Address - Street 2:2ND FL FRAZIER INST.
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1818
Mailing Address - Country:US
Mailing Address - Phone:502-587-3999
Mailing Address - Fax:502-587-3960
Practice Address - Street 1:200 ABRAHAM FLEXNER WAY
Practice Address - Street 2:2ND FL FRAZIER INST.
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1818
Practice Address - Country:US
Practice Address - Phone:502-587-3999
Practice Address - Fax:502-587-3960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N/A282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY01022532Medicaid
KY000000054423OtherBLUE CROSS
KY1049521OtherPASSPORT KY MCD
KY=========OtherCHAMPUS VA
KY=========OtherCIGNA
KY=========OtherHUMANA
KY=========OtherAETNA
KY000000054423OtherBLUE CROSS
KY=========OtherCIGNA