NPIMap

Organization Active NPI

Kindred Nursing Centers East LLC

  • Skilled Nursing Facility
  • Columbus, OH
National Provider Identifier
1124281498
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
6033 Issued in OH
Legal business name
KINDRED NURSING CENTERS EAST LLC
Practice address
5460 Cleveland Ave
Columbus, OH 43231-4005
Phone
(614) 882-2490
Fax
(614) 882-6767
NPI assigned
Jul 8, 2008
Organization subpart
Yes
Parent organization
KINDRED HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Mr. Arthur L Rothgerber
Title
Sr Vice President of Reimbursement
Phone
(502) 596-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 6033 OH Primary

Addresses

Primary practice location

5460 Cleveland Ave
Columbus, OH 43231-4005

Mailing address

5460 Cleveland Ave
Columbus, OH 43231-4005
Phone (614) 882-2490

Other identifiers 1

IdentifierTypeStateIssuer
2540290 (FOR OXYGEN)MedicaidOH

Other names 1

  • Minerva Park Nursing and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kindred Nursing Centers East LLC15 organizations share this tax ID, including this one
Part of
Presence Covenant Medical Center

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1124281498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314005",
            "telephone_number": "614-882-2490",
            "fax_number": "614-882-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314005",
            "telephone_number": "614-882-2490",
            "fax_number": "614-882-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED NURSING CENTERS EAST LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINDRED HEALTHCARE INC",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "ROTHGERBER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SR VICE PRESIDENT OF REIMBURSEMENT",
        "authorized_official_telephone_number": "502-596-7300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "6033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2540290 (FOR OXYGEN)",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minerva Park Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.