Active NPI
KND Development 55, L.L.C.
Doing business as Kindred Hospital Rancho
- Long Term Care Hospital
- Rancho Cucamonga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- Legal business name
- KND DEVELOPMENT 55, L.L.C.
- Doing business as
- Kindred Hospital Rancho
- Practice address
- 10841 White Oak Ave
Rancho Cucamonga, CA 91730-3811 - Phone
- (909) 581-6400
- NPI assigned
- Oct 8, 2010
- Last updated
- Mar 11, 2024
- 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
- Kathy Teague
- Title
- Vice President, Corporate Secretary
- Phone
- (629) 253-5121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | Primary |
Addresses
Primary practice location
10841 White Oak Ave
Rancho Cucamonga, CA 91730-3811
Mailing address
10841 White Oak Ave
Rancho Cucamonga, CA 91730-3811
Phone (909) 581-6400
Other names 1
- Kindred Hospital Rancho
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110110000199 | CA | Part A Provider - Hospital | 6103015961 | Practice locations: Rancho Cucamonga, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1205146289. Details of each certification follow.
Hospital certification: CCN 052049
- Legal name
- KND DEVELOPMENT 55, L.L.C.
- Doing business as
- KINDRED HOSPITAL RANCHO
- Certification status
- Active
- Provider type (POS)
- Hospital – Long-term
- Participating since
- Oct 1, 2006
- Last certification
- Nov 3, 2017
- Beds
- 55
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Nov 1, 2010 (1 total)
- Organization structure
- LLC
- Incorporated
- Aug 14, 2007 in DE
- Enrollment address
- 10841 White Oak Ave
Rancho Cucamonga, CA 91730-3811 - Hospital subgroups
- Long-term
Care Compare: Long-term care hospital
Medicare Care Compare- Listed as
- Kindred Hospital Rancho
- Ownership
- For profit
- Certified
- Oct 1, 2006
- Medicare certification status
- Active
- Beds
- 55
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1048567 | Kindred Hospital Rancho | Accreditation | May 29, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kindred Healthcare Operating LLC | 5% Or Greater Direct Ownership Interest | Nov 1, 2010 | 100% |
| Kentucky Hospital Intermediate LLC | 5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Kindred Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2010 | 100% |
| Scott Graeser | Corporate Officer | Aug 19, 2022 | |
| Dana M Rock | Corporate Officer | Dec 9, 2024 | |
| Johnetta M Traylor | Corporate Officer | Dec 9, 2024 | |
| Kentucky Hospital Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Deanna Schiavone | Corporate Officer | Aug 22, 2022 | |
| Knight Health Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Michael Joseph Bean | Corporate Officer | Mar 11, 2015 | |
| Knight Health LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Knight Intermediate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Julie Myers | Operational/Managerial Control | Nov 1, 2025 | |
| Kentucky Hospital Holdings JV LP | 5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Linn Billingsley | Corporate Officer | Jul 2, 2018 |
Facilities with the same owner 97
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Kindred Hospital Baldwin Park
- Long Term Care Hospital
- Baldwin Park, CA
- NPI 1689984668
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC
-
dba Kindred Hospital South Bay
- Long Term Care Hospital
- Gardena, CA
- NPI 1215247978
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC
-
dba Kindred Hospital Riverside
- Long Term Care Hospital
- Perris, CA
- NPI 1013227099
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Kindred Hospital Paramount
- Long Term Care Hospital
- Paramount, CA
- NPI 1093275786
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC
-
dba Kindred Hospital Paramount (Acute Rehab Unit)
- Rehabilitation Hospital
- Paramount, CA
- NPI 1578159661
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC
-
dba Kindred Hospital - La Mirada
- Long Term Care Hospital
- La Mirada, CA
- NPI 1033294723
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Kindred Hospital - Los Angeles
- Long Term Care Hospital
- Los Angeles, CA
- NPI 1447335146
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC
-
dba Kindred Hospital - Westminster
- Long Term Care Hospital
- Westminster, CA
- NPI 1528143179
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Kindred Hospital - Brea
- Long Term Care Hospital
- Brea, CA
- NPI 1780768416
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Kindred Hospital - San Gabriel Valley
- Long Term Care Hospital
- West Covina, CA
- NPI 1942385224
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba d/b/a Kindred Hospital - San Diego
- Long Term Care Hospital
- San Diego, CA
- NPI 1992880512
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC
-
dba Kindred Hospital - Ontario
- Long Term Care Hospital
- Ontario, CA
- NPI 1043395742
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
Practitioners & affiliated clinicians
Affiliated clinicians 12
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Gastroenterology Physician
- Rancho Cucamonga, CA
- NPI 1205274768
Long-term care hospital
-
- Internal Medicine Physician
- Downey, CA
- NPI 1518326933
Long-term care hospital
-
- Pulmonary Disease Physician
- Montclair, CA
- NPI 1053417808
Long-term care hospital
-
- Pulmonary Disease Physician
- Riverside, CA
- NPI 1619946654
Long-term care hospital
-
- Internal Medicine Physician
- Redlands, CA
- NPI 1902224462
Long-term care hospital
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1447447818
Long-term care hospital
-
- Internal Medicine Physician
- Rancho Cucamonga, CA
- NPI 1386778033
Long-term care hospital
-
- Family Medicine Physician
- Upland, CA
- NPI 1669677365
Long-term care hospital
-
- Pulmonary Disease Physician
- Montclair, CA
- NPI 1669615902
Long-term care hospital
-
- Geriatric Medicine (Internal Medicine) Physician
- Rancho Cucamonga, CA
- NPI 1205052990
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710115200000",
"number": "1205146289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10841 WHITE OAK AVE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303811",
"telephone_number": "909-581-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10841 WHITE OAK AVE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303811",
"telephone_number": "909-581-6400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KND DEVELOPMENT 55, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-08",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kindred Hospital Rancho",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kindred Hospital Rancho",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.