NPIMap

Organization Active NPI

Kindred Healthcare Operating, LLC

  • Hospitalist Physician
  • Northlake, IL
National Provider Identifier
1225320567
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
KINDRED HEALTHCARE OPERATING, LLC
Practice address
365 E North Ave
Northlake, IL 60164-2628
Phone
(708) 345-8100
Fax
(502) 596-4150
NPI assigned
May 4, 2011
Last updated
Feb 22, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
KINDRED HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Linda L Fisher
Title
DVP Revenue Cycle
Phone
(502) 596-7484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X Primary

Addresses

Primary practice location

365 E North Ave
Northlake, IL 60164-2628

Mailing address

680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-7358

Other names 1

  • 4010 KINDRED HOSPITAL CHICAGO NORTHLAKE Other name

National Provider Directory

National Provider Directory
Tax ID family
Vencor Hospital21 organizations share this tax ID, including this one
Part of
Presence Covenant Medical Center

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1225320567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-7358",
            "fax_number": "833-501-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 E NORTH AVE",
            "city": "NORTHLAKE",
            "state": "IL",
            "postal_code": "601642628",
            "telephone_number": "708-345-8100",
            "fax_number": "502-596-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HEALTHCARE OPERATING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINDRED HEALTHCARE, LLC",
        "enumeration_date": "2011-05-04",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DVP REVENUE CYCLE",
        "authorized_official_telephone_number": "502-596-7484"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4010 KINDRED HOSPITAL CHICAGO NORTHLAKE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Northlake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.