NPIMap

Organization Active NPI

KND Development 59, LLC

  • Hospitalist Physician
  • Hollywood, FL
National Provider Identifier
1295064384
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
KND DEVELOPMENT 59, LLC
Practice address
1859 Van Buren St
Hollywood, FL 33020-5127
Phone
(954) 920-9000
Fax
(502) 596-4150
NPI assigned
Dec 18, 2009
Organization subpart
Yes
Parent organization
KINDRED HEALTHCARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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) 596-7358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

1859 Van Buren St
Hollywood, FL 33020-5127

Mailing address

680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-7300

Other practice location 1

2540 Eagle Run Dr
Weston, FL 33327-1526
Phone (502) 596-7358

Other identifiers 1

IdentifierTypeStateIssuer
DL118BOtherFLMEDICARE

Other names 1

  • 4876 KH HOLLYWOOD Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100908000056 FL Part B Supplier - Clinic/Group Practice 3678602802 Receives reassigned benefits from 175 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cantonment, FL; Coral Gables, FL; Fort Lauderdale, FL; Green Cove Springs, FL; Hollywood, FL; Melbourne, FL; Riviera Beach, FL; Saint Petersburg, FL…

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Presence Covenant Medical Center

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1295064384",
    "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": "502-596-7300",
            "fax_number": "833-501-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 VAN BUREN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205127",
            "telephone_number": "954-920-9000",
            "fax_number": "502-596-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2540 Eagle Run Dr",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333271526",
            "country_code": "US",
            "telephone_number": "502-596-7358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KND DEVELOPMENT 59, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINDRED HEALTHCARE, INC",
        "enumeration_date": "2009-12-18",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "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": "502-596-7358"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "DL118B",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4876 KH HOLLYWOOD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "4876 KH HOLLYWOOD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.