Active NPI
KND Development 54, L.L.C.
Doing business as Kindred Hospital Riverside
- Long Term Care Hospital
- Perris, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- Legal business name
- KND DEVELOPMENT 54, L.L.C.
- Doing business as
- Kindred Hospital Riverside
- Practice address
- 2224 Medical Center Dr
Perris, CA 92571-2638 - Phone
- (951) 436-3535
- NPI assigned
- Oct 8, 2010
- Last updated
- Mar 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Teague
- Title
- Vice President, Corporate Secretary
- Phone
- (629) 253-5121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | Primary |
Addresses
Primary practice location
2224 Medical Center Dr
Perris, CA 92571-2638
Mailing address
2224 Medical Center Dr
Perris, CA 92571-2638
Phone (951) 436-3535
Other names 1
- Kindred Hospital Riverside
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110107000301 | CA | Part A Provider - Hospital | 1850580747 | Practice locations: Perris, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1013227099. Details of each certification follow.
Hospital certification: CCN 052052
- Legal name
- KND DEVELOPMENT 54, L.L.C.
- Doing business as
- KINDRED HOSPITAL RIVERSIDE
- Certification status
- Active
- Provider type (POS)
- Hospital – Long-term
- Participating since
- Jan 1, 2008
- Last certification
- May 2, 2025
- Beds
- 40
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Nov 1, 2010 (1 total)
- Organization structure
- LLC
- Enrollment address
- 2224 Medical Center Dr
Perris, CA 92571-2638 - Hospital subgroups
- Long-term
Care Compare: Long-term care hospital
Medicare Care Compare- Listed as
- Kindred Hospital Riverside
- Ownership
- For profit
- Certified
- Jan 1, 2008
- Medicare certification status
- Active
- Beds
- 40
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1061525 | Kindred Hospital Riverside | Accreditation | May 29, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kindred Healthcare Operating LLC | 5% Or Greater Direct Ownership Interest | Feb 26, 1998 | 100% |
| Kentucky Hospital Intermediate LLC | 5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Knight Intermediate Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Kindred Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Mar 27, 1998 | 100% |
| Scott Graeser | Corporate Officer | Aug 19, 2022 | |
| Dana M Rock | Corporate Officer | Dec 9, 2024 | |
| Johnetta M Traylor | Corporate Officer | Dec 9, 2024 | |
| W-2 Managing Employee | Dec 9, 2024 | ||
| Tamra Hennis | Operational/Managerial Control | Nov 1, 2021 | |
| Kentucky Hospital Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Deanna Schiavone | Corporate Officer | Aug 22, 2022 | |
| Knight Health Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Michael Joseph Bean | Corporate Officer | Mar 22, 2015 | |
| Knight Health LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Kentucky Hospital Holdings JV LP | 5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Linn Billingsley | Corporate Officer | Feb 1, 2026 |
Facilities with the same owner 97
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Kindred Hospital Baldwin Park
- Long Term Care Hospital
- Baldwin Park, CA
- NPI 1689984668
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Kindred Hospital South Bay
- Long Term Care Hospital
- Gardena, CA
- NPI 1215247978
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Kindred Hospital Rancho
- Long Term Care Hospital
- Rancho Cucamonga, CA
- NPI 1205146289
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Kindred Hospital Paramount
- Long Term Care Hospital
- Paramount, CA
- NPI 1093275786
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Kindred Hospital Paramount (Acute Rehab Unit)
- Rehabilitation Hospital
- Paramount, CA
- NPI 1578159661
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Kindred Hospital - La Mirada
- Long Term Care Hospital
- La Mirada, CA
- NPI 1033294723
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Kindred Hospital - Los Angeles
- Long Term Care Hospital
- Los Angeles, CA
- NPI 1447335146
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Kindred Hospital - Westminster
- Long Term Care Hospital
- Westminster, CA
- NPI 1528143179
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Kindred Hospital - Brea
- Long Term Care Hospital
- Brea, CA
- NPI 1780768416
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Kindred Hospital - San Gabriel Valley
- Long Term Care Hospital
- West Covina, CA
- NPI 1942385224
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba d/b/a Kindred Hospital - San Diego
- Long Term Care Hospital
- San Diego, CA
- NPI 1992880512
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Kindred Hospital - Ontario
- Long Term Care Hospital
- Ontario, CA
- NPI 1043395742
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Laguna Hills, CA
- NPI 1164836896
Long-term care hospital
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1528074812
Long-term care hospital
-
- Internal Medicine Physician
- Riverside, CA
- NPI 1376605717
Long-term care hospital
-
- Internal Medicine Physician
- Moreno Valley, CA
- NPI 1720018237
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710115200000",
"number": "1013227099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2224 MEDICAL CENTER DR",
"city": "PERRIS",
"state": "CA",
"postal_code": "925712638",
"telephone_number": "951-436-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2224 MEDICAL CENTER DR",
"city": "PERRIS",
"state": "CA",
"postal_code": "925712638",
"telephone_number": "951-436-3535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KND DEVELOPMENT 54, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-08",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A",
"authorized_official_last_name": "TEAGUE",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "VICE PRESIDENT, CORPORATE SECRETARY",
"authorized_official_telephone_number": "629-253-5121"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kindred Hospital Riverside",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kindred Hospital Riverside",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Perris, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.