Organization Active NPI

Kindred Hospitals East, LLC

Doing business as Kindred Hospital - Ocala

  • Long Term Care Hospital
  • Ocala, FL
National Provider Identifier
1063441269
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
4483 Issued in FL
Legal business name
KINDRED HOSPITALS EAST, LLC
Doing business as
Kindred Hospital - Ocala
Practice address
1500 SW 1St Ave FL 5
Ocala, FL 34474-4004
Phone
(352) 369-0513
Fax
(352) 369-0514
NPI assigned
Jul 1, 2006
Last updated
Jun 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Johnetta Traylor
Title
Ao
Phone
(502) 596-6063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 4483 FL Primary

Addresses

Primary practice location

1500 SW 1St Ave FL 5
Ocala, FL 34474-4004

Mailing address

680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-6063

Other identifiers 2

IdentifierTypeStateIssuer
0103535 00MedicaidFL
140OtherBLUE CROSS

Other names 1

  • Kindred Hospital - Ocala Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100702000057 FL Part A Provider - Hospital 0648187674 Practice locations: Ocala, FL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1063441269. Details of each certification follow.

Hospital certification: CCN 102019

Legal name
KINDRED HOSPITALS EAST LLC
Doing business as
KINDRED HOSPITAL OCALA
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jun 1, 2006
Last certification
Dec 1, 2005
Beds
31
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
1500 SW 1St Ave
FL 5
Ocala, FL 34471-6504
Main/Primary Hospital Location
Hospital subgroups
Long-term

Hospital certification: CCN 100301

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
KINDRED HOSPITAL OCALA
Certification status
Terminated Other: provider status change, May 31, 2006
Provider type (POS)
Hospital – Short-term
Participating since
Nov 30, 2005
Last certification
Nov 30, 2005
Beds
31
Ownership / control type
Private (for profit)
Facility address
1500 SW 1St Ave, 5TH FLR
Ocala, FL 34474

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Kindred Hospital OcalaCCN 102019 · All quality measures
Ownership
For profit
Certified
Jun 1, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Beds
31

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1042000Kindred Hospital Ocala1500 SW 1St Ave FL 5, Ocala, FL 34474Certificate of waiverJul 10, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kindred Healthcare Operating LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 10, 2010 100%
Kentucky Hospital Intermediate LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Kindred Healthcare LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 27, 1998 100%
Scott Graeser Individual Corporate OfficerVice President, Treasurer Aug 19, 2022
Michael L. Moody Individual Corporate OfficerPresident Jan 21, 2022
Dana M Rock Individual Corporate OfficerAssistant Administrator Dec 9, 2024
Johnetta M Traylor Individual Corporate OfficerAdministrator Dec 9, 2024
Merlene M Bhoorasingh Individual Operational/Managerial ControlHospital Ceo Jun 26, 2013
Kentucky Hospital Holdings LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Deanna Schiavone Individual Corporate OfficerChief Financial Officer Aug 22, 2022
Knight Health Holdings LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Michael Joseph Bean Individual Corporate Officer Jun 12, 2015
Knight Health LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Knight Intermediate Holdings LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Richard L Algood Individual Corporate Officer Jun 12, 2015
Kentucky Hospital Holdings JV LP Organization, Louisville, KY Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kindred Hospital the Palm BeachesRiviera Beach, FL, CCN 102025 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998
Kindred Hospital MelbourneMelbourne, FL, CCN 102027 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998
Kindred Hospital MelbourneMelbourne, FL, CCN 10TA27 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998
Kindred Hospital Palm Beach LLCRiviera Beach, FL, CCN 10TA25 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 97

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 97

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1063441269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW 1ST AVE FL 5",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744004",
            "telephone_number": "352-369-0513",
            "fax_number": "352-369-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HOSPITALS EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "JOHNETTA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "502-596-6063"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "FL",
            "license": "4483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103535 00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "140",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital - Ocala",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital - Ocala",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.