Organization Active NPI

Transitional Hospitals of Tampa LLC

Doing business as Kindred Hospital - Central Tampa

  • Long Term Care Hospital
  • Tampa, FL
National Provider Identifier
1164507752
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
3966 Issued in FL
Legal business name
TRANSITIONAL HOSPITALS OF TAMPA LLC
Doing business as
Kindred Hospital - Central Tampa
Practice address
4801 N Howard Ave
Tampa, FL 33603
Phone
(813) 874-7575
Fax
(813) 874-6351
NPI assigned
Oct 25, 2006
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 3966 FL Primary

Addresses

Primary practice location

4801 N Howard Ave
Tampa, FL 33603

Mailing address

4801 N Howard Ave
Tampa, FL 33603-1411
Phone (813) 874-7575

Other identifiers 2

IdentifierTypeStateIssuer
525OtherFLBLUE CROSS
010230000MedicaidFL

Other names 1

  • Kindred Hospital - Central Tampa Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100719000736 FL Part A Provider - Hospital 0042113789 Practice locations: Tampa, FL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1164507752. Details of each certification follow.

Hospital certification: CCN 102013

Legal name
TRANSITIONAL HOSPITALS OF TAMPA LLC
Doing business as
KINDRED HOSPITAL - CENTRAL TAMPA
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Mar 17, 1993
Last certification
Mar 18, 1993
Beds
102
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
4801 N Howard Ave
Tampa, FL 33603-1411
Main/Primary Hospital Location
Hospital subgroups
Long-term

Hospital certification: CCN 100143

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
VENCOR HOSPITAL CENTRAL TAMPA
Certification status
Terminated Other: provider status change, Mar 16, 1993
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 3, 1992
Beds
102
Ownership / control type
Private (for profit)
Most recent change of ownership
Mar 17, 1993 (1 total)
Facility address
4801 N Howard Ave
Tampa, FL 33603

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Kindred Hospital-Central TampaCCN 102013 · All quality measures
Ownership
For profit
Certified
Mar 17, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Beds
102

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
10D0289806Kindred Hospital Central Tampa Blood Gas4801 N Howard Ave, Tampa, FL 33603AccreditationJan 19, 2028

National Provider Directory

National Provider Directory

Locations

4810 N Howard Ave
Tampa, FL 33603
Phone (813) 874-7575

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 5% Or Greater Direct Ownership Interest Feb 26, 1998 100%
Kentucky Hospital Intermediate LLC Organization, Fort Worth, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Kindred Healthcare LLC Organization, Louisville, KY LLC 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 OfficerAdminitrator Dec 9, 2024
Kentucky Hospital Holdings LLC Organization, Fort Worth, TX 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 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Michael Joseph Bean Individual Corporate Officer Dec 14, 2004
Knight Health LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Knight Intermediate Holdings LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Richard L Algood Individual Corporate Officer Feb 2, 2015
Other Feb 10, 2015
Suthanthira Ratnasamy Individual Operational/Managerial ControlChief Executive Officer Apr 9, 2020
Kentucky Hospital Holdings JV LP Organization, Fort Worth, TX 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%

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

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 12

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1164507752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 N HOWARD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031411",
            "telephone_number": "813-874-7575",
            "fax_number": "813-874-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 N HOWARD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33603",
            "telephone_number": "813-874-7575",
            "fax_number": "813-874-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONAL HOSPITALS OF TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "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": "FL",
            "license": "3966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "525",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010230000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital - Central Tampa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital - Central Tampa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.