Active NPI
Kindred Hospitals East, LLC
- Long Term Care Hospital
- Beaver, PA
National Provider Identifier
1073682001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- 13570101
- Legal business name
- KINDRED HOSPITALS EAST, LLC
- Practice address
- 1000 Dutch Ridge Rd
Floor 2
Beaver, PA 15009-9727 - Phone
- (724) 773-8480
- Fax
- (724) 773-8210
- NPI assigned
- Nov 6, 2006
- 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
- Johnetta Traylor
- Title
- Ao
- Phone
- (502) 596-6063
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | 13570101 | PA | Primary |
Addresses
Primary practice location
1000 Dutch Ridge Rd
Floor 2
Beaver, PA 15009-9727
Mailing address
680 S 4TH St
K-Live 5 Reimbursement
Louisville, KY 40202-2407
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2091 | Other | PA | BLUE CROSS |
| 2594867 | Medicaid | PA |
Other names 1
- Kindred Hospital at Heritage Valley
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750809600000",
"number": "1073682001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 S 4TH ST",
"address_2": "K-LIVE 5 REIMBURSEMENT",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022407",
"fax_number": "502-596-4134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 DUTCH RIDGE RD",
"address_2": "FLOOR 2",
"city": "BEAVER",
"state": "PA",
"postal_code": "150099727",
"telephone_number": "724-773-8480",
"fax_number": "724-773-8210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINDRED HOSPITALS EAST, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"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": "PA",
"license": "13570101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "2091",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2594867",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kindred Hospital at Heritage Valley",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beaver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.