Active NPI
Northland Ltach, LLC
Doing business as Kindred Hospital Northland
- Long Term Care Hospital
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- 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, 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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 500 NW 68TH St
Kansas City, MO 64118-2455 - 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 Northland
- Ownership
- For profit
- Certified
- May 6, 2008
- Medicare certification status
- Active
- Beds
- 35
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 |
|---|---|---|---|
| 26D1080749 | Kindred Northland LTAC Hospital | Accreditation | Jul 23, 2027 |
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
dba The Liberty Clinic
- Family Medicine Physician
- Liberty, MO
- NPI 1023360690
Member Of
-
dba NKC Health
- General Acute Care Hospital
- North Kansas City, MO
- NPI 1629062799
Member Of
-
dba RehabCare
- Rehabilitation Clinic/Center
- Jefferson City, MO
- NPI 1972020394
Member Of
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kindred Healthcare Operating LLC | 5% Or Greater Indirect Ownership Interest | Feb 26, 1998 | 100% |
| Kentucky Hospital Intermediate LLC | 5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Kindred Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Mar 27, 1998 | 100% |
| Scott Graeser | Corporate Officer | Aug 19, 2022 | |
| Dana M Rock | Corporate Officer | Dec 9, 2024 | |
| Johnetta M Traylor | Corporate Officer | Dec 9, 2024 | |
| W-2 Managing Employee | Mar 17, 2025 | ||
| Kentucky Hospital Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Mark Laroche | Corporate Officer | Mar 17, 2025 | |
| Kindred Rehab Hospital Holdings LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 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 | Jun 7, 2011 | |
| Knight Health LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Northland Ltach, LLC | 5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Kentucky Hospital Holdings JV LP | 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.
-
dba Kindred Hospital - St. Louis
- Long Term Care Hospital
- Saint Louis, MO
- NPI 1447337449
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 Andalusia Family Healthcare
- Rural Health Clinic/Center
- Andalusia, AL
- NPI 1417663576
Knight Health Holdings 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
-
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
-
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
-
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
-
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
-
dba Andalusia Health
- General Acute Care Hospital
- Andalusia, AL
- NPI 1821078494
Kindred Healthcare Operating LLC, Knight Health Holdings 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
-
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, Kindred Rehab Hospital Holdings LLC, Knight Health Holdings LLC, Knight Health 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, Kindred Rehab Hospital Holdings LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Carolina Pines Regional Medical Center
- General Acute Care Hospital
- Hartsville, SC
- NPI 1174500458
Kindred Healthcare Operating LLC, Knight Health Holdings LLC
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.
-
- Hospitalist Physician
- North Kansas City, MO
- NPI 1043507148
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1972701571
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Kansas City, MO
- NPI 1437158391
Long-term care hospital
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1972701571
Long-term care hospital
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
- Northland Hearing Centers, Inc. (Audibel Hearing Center)
- Northland Hearing Centers, Inc. (Northland Hearing Centers, Inc. dba Starkey HearCare)
- Northland Hospitalsts LLC
- Northland Imaging, LLC
- Northland Integrated Medical, Inc
- Northland Medical and Wellness Center LLC
- Northland Neurosurgery, PC
- Northland Open MRI LLC
- Northland Optical Center, LLC
- Northland Orthopedic Applicance Inc
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.