NPIMap

Organization Active NPI

Kindred Hospitals East, LLC

Doing business as Kindred Hospital Philadelphia - Havertown (Acute Rehab Unit)

  • Rehabilitation Hospital Unit
  • Havertown, PA
National Provider Identifier
1245826254
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
KINDRED HOSPITALS EAST, LLC
Doing business as
Kindred Hospital Philadelphia - Havertown (Acute Rehab Unit)
Practice address
2000 Old West Chester Pike
Havertown, PA 19083-2712
Phone
(610) 536-2100
NPI assigned
Dec 14, 2020
Last updated
Jun 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NU Primary

Addresses

Primary practice location

2000 Old West Chester Pike
Havertown, PA 19083-2712

Mailing address

680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-6063

Other identifiers 1

IdentifierTypeStateIssuer
120101OtherPAHOSPITAL LICENSE

Other names 1

  • Kindred Hospital Philadelphia - Havertown (Acute Rehab Unit) Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210413002318 PA Part A Provider - Hospital 0648187674 Practice locations: Havertown, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245826254. Details of each certification follow.

Hospital certification: CCN 39TA27

Legal name
KINDRED HOSPITALS EAST LLC
Doing business as
KINDRED HOSPITAL - PHILADELPHIA
Organization structure
LLCProprietary
Enrollment address
2000 Old West Chester Pike
Havertown, PA 19083-2712
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Kindred Hospital PhiladelphiaCCN 39TA27 · All quality measures
Ownership
For profit
Certified
Sep 1, 2021

National Provider Directory

National Provider Directory
Tax ID family
Vencor Hospital Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Ownership & 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.

NameRoleSinceShare
Kindred Healthcare Operating LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 23, 2007 100%
Kentucky Hospital Intermediate LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Kindred Healthcare LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 23, 2007 100%
Scott Graeser Individual Corporate OfficerVice President, Treasurer Aug 19, 2022
Andrew Donet Individual W-2 Managing EmployeeHospital Ceo/Administrator Jul 14, 2023
Dana M Rock Individual Corporate OfficerAssistant Administrator Dec 9, 2024
Johnetta M Traylor Individual Corporate OfficerAdministrator Dec 9, 2024
Darla Beranek Individual Corporate OfficerAssistant Corporate Secretary Feb 1, 2026
Kentucky Hospital Holdings LLC Organization, Louisville, KY LLC, Holding company, 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, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Michael Joseph Bean Individual Corporate Officer Mar 19, 2019
Knight Health LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Kentucky Hospital Holdings JV LP Organization, Louisville, KY Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Linn Billingsley Individual Corporate OfficerPresident Feb 1, 2026

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kindred Hospital the Palm BeachesRiviera Beach, FL, CCN 102025 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998
Kindred Hospital MelbourneMelbourne, FL, CCN 102027 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998
Kindred Hospital MelbourneMelbourne, FL, CCN 10TA27 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998
Kindred Hospital Palm Beach LLCRiviera Beach, FL, CCN 10TA25 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 97

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Kindred Hospitals East, LLC

    dba Kindred Hospital - Philadelphia

    • Long Term Care Hospital
    • Philadelphia, PA
    • NPI 1306918040

    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

    CMS ownership
  • Andalusia Physician Practices LLC

    dba Andalusia Family Healthcare

    • Rural Health Clinic/Center
    • Andalusia, AL
    • NPI 1417663576

    Knight Health Holdings LLC

    CMS ownership
  • CHG Hospital Austin, LLC

    dba Cornerstone Specialty Hospitals Round Rock

    • Rehabilitation Hospital Unit
    • Round Rock, TX
    • NPI 1396326948

    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

    CMS ownership
  • CHG Hospital Austin, LLC

    dba Cornerstone Specialty Hospitals Round Rock

    • Long Term Care Hospital
    • Round Rock, TX
    • NPI 1912395203

    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

    CMS ownership
  • CHG Hospital Conroe, LLC

    dba Cornerstone Specialty Hospitals Conroe

    • Long Term Care Hospital
    • Conroe, TX
    • NPI 1073901476

    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

    CMS ownership
  • CHG Hospital Little Rock, LLC

    dba Cornerstone Specialty Hospitals Little Rock

    • Long Term Care Hospital
    • Little Rock, AR
    • NPI 1346630589

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • CHG Hospital McAllen, LLC

    dba Solara Specialty Hospitals McAllen

    • Long Term Care Hospital
    • McAllen, TX
    • NPI 1760870166

    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

    CMS ownership
  • Community Hospital of Andalusia LLC

    dba Andalusia Health

    • General Acute Care Hospital
    • Andalusia, AL
    • NPI 1821078494

    Kindred Healthcare Operating LLC, Knight Health Holdings LLC

    CMS ownership
  • Cornerstone Hospital of Huntington, LLC

    dba Cornerstone Specialty Hospitals Huntington

    • Long Term Care Hospital
    • Huntington, WV
    • NPI 1548214786

    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

    CMS ownership
  • Dallas Ltach, LLC

    dba Kindred Hospital Dallas Central

    • Long Term Care Hospital
    • Dallas, TX
    • NPI 1356559991

    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

    CMS ownership
  • Dallas Ltach, LLC

    dba Kindred Hospital Dallas Central (Acute Rehab Unit)

    • Rehabilitation Hospital Unit
    • Dallas, TX
    • NPI 1821741539

    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

    CMS ownership
  • Hartsville, LLC

    dba Carolina Pines Regional Medical Center

    • General Acute Care Hospital
    • Hartsville, SC
    • NPI 1174500458

    Kindred Healthcare Operating LLC, Knight Health Holdings LLC

    CMS ownership
View all 97

Practitioners & affiliated clinicians

Practitioners 2

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 2

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": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1245826254",
    "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": "502-596-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OLD WEST CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832712",
            "telephone_number": "610-536-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HOSPITALS EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "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": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL LICENSE",
            "identifier": "120101",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital Philadelphia - Havertown (Acute Rehab Unit)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital Philadelphia - Havertown (Acute Rehab Unit)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.