Organization Active NPI

Northland Ltach, LLC

Doing business as Kindred Hospital Northland

  • Long Term Care Hospital
  • Kansas City, MO
National Provider Identifier
1265612188
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
NORTHLAND LTACH, LLC
Doing business as
Kindred Hospital Northland
Practice address
500 NW 68TH St
Kansas City, MO 64118-2455
Phone
(816) 420-6300
Fax
(816) 420-6360
NPI assigned
Nov 8, 2007
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 NU Primary

Addresses

Primary practice location

500 NW 68TH St
Kansas City, MO 64118-2455

Mailing address

500 NW 68TH St
Kansas City, MO 64118-2455
Phone (816) 420-6300

Other names 1

  • Kindred Hospital Northland Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080201000351 MO Part A Provider - Hospital 7214019025 Practice locations: Kansas City, MO

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1265612188. Details of each certification follow.

Hospital certification: CCN 262018

Legal name
NORTHLAND LTACH, LLC
Doing business as
KINDRED HOSPITAL NORTHLAND
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
May 6, 2008
Last certification
Nov 4, 2011
Beds
35
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
500 NW 68TH St
Kansas City, MO 64118-2455
Main/Primary Hospital Location
Hospital subgroups
Long-term

Hospital certification: CCN 260222

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
NORTHLAND LTAC HOSPITAL
Certification status
Terminated Other: provider status change, May 6, 2008
Provider type (POS)
Hospital – Short-term
Participating since
May 5, 2008
Last certification
May 6, 2008
Beds
35
Ownership / control type
Private (for profit)
Facility address
500 NW 68TH Street
Kansas City, MO 64118

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Kindred Hospital NorthlandCCN 262018 · All quality measures
Ownership
For profit
Certified
May 6, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Beds
35

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
26D1080749Kindred Northland LTAC Hospital500 NW 68TH Street, Kansas City, MO 64118AccreditationJul 23, 2027

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

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, Chain home office 5% Or Greater Indirect 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 For-profit 5% Or Greater Indirect Ownership Interest Mar 27, 1998 100%
Scott Graeser Individual Corporate OfficerVice President, Treasurer Aug 19, 2022
Dana M Rock Individual Corporate OfficerAssistant Administrator Dec 9, 2024
Johnetta M Traylor Individual Corporate OfficerAdministrator Dec 9, 2024
W-2 Managing EmployeeAd; Mar 17, 2025
Kentucky Hospital Holdings LLC Organization, Fort Worth, TX LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Mark Laroche Individual Corporate OfficerPresident Mar 17, 2025
Kindred Rehab Hospital Holdings LLC Organization, Louisville, KY LLC 5% Or Greater Direct Ownership Interest Jan 1, 2021 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 Jun 7, 2011
Knight Health LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Northland Ltach, LLC Organization, Kansas City, MO LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
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 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": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1265612188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NW 68TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641182455",
            "telephone_number": "816-420-6300",
            "fax_number": "816-420-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NW 68TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641182455",
            "telephone_number": "816-420-6300",
            "fax_number": "816-420-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND LTACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital Northland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital Northland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.