Kindred Hospitals East, LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

13570101 Issued in PA

Legal business name

KINDRED HOSPITALS EAST, LLC

Doing business as

Kindred Hospital at Heritage Valley

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

Last updated

Jun 25, 2025By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Kindred Hospital at Heritage Valley Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073682001. Details of each certification follow.

• CCN 390303 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 390303

Legal name

KINDRED HOSPITAL AT HERITAGE VALLEY

Certification status

Terminated Other: provider status change, Jun 30, 2003

Provider type (POS)

Hospital – Short-term

Participating since

Dec 20, 2002

Last certification

Dec 20, 2002

Beds

35

Ownership / control type

Private (for profit)

Facility address

1000 Dutch Ridge Road
Beaver, PA 15009

Member of 1

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

• Kindred Hospitals East, LLC

  dba Kindred Hospital - South Florida Ft. Lauderdale

  • Long Term Care Hospital
  • Fort Lauderdale, FL
  • NPI 1861577306

  Member Of

  NPD member

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital at Heritage Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Kelly, DC
• Natalie Kerr
• Alissa Ketterer
• Mandy Kibler
• Brian Killeen
• Victor Steven King, LPC
• Jaime Michelle Kinkead, LSW
• Megan Kirkpatrick, AUD
• Shawn Frederick Kissick, L.AC.
• Melissa Klemick, RN, CDCES

• Long Term Care Hospital in Beaver, PA
• Providers in Beaver, PA by specialty
• Long Term Care Hospital in Pennsylvania

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.