Kindred Hospital Palm Beach LLC
Organization Active NPI Long Term Care Hospital · Riviera Beach, FL
NPI 1295905255 · NPPES record last updated Mar 11, 2024
Key facts
- NPI
- 1295905255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Hospital 282E00000X
- Legal business name
- KINDRED HOSPITAL PALM BEACH LLC
- Practice address
- 5555 W Blue Heron Blvd
Riviera Beach, FL 33418-7813 - Phone
- (502) 596-7300
- NPI assigned
- Mar 6, 2008
- Organization subpart
- No
Authorized official
- Name
- Kathy Teague
- Title
- Vice President, Corporate Secretary
- Phone
- (629) 253-5121
Owners & managing parties with NPI records 16
Other NPIs with the same Medicare PAC ID 1
Member of 2
Facilities with the same owner 97
Affiliated clinicians 11
-
Nir Joseph Hus, M.D., PH.D.
-
Frederick Nelson Laborde, M.D.
-
Mohammad Nawaz Nasar, M.D
-
Berry Pierre, D.O.
-
Joshua Adrian Simon, D.O.
-
Carmi Y Stadlan, MD
Medicare Care Compare: Long-term care hospital
- Listed as
- Kindred Hospital the Palm Beaches
- Ownership
- For profit
- Certified
- Jun 1, 2009
- Medicare certification status
- Active
- Beds
- 68
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Hospital certification: CCN 102025
- Legal name
- KINDRED HOSPITAL PALM BEACH LLC
- Doing business as
- KINDRED HOSPITAL THE PALM BEACHES
- Certification status
- Active
- Provider type (POS)
- Hospital – Long-term
- Participating since
- Jun 1, 2009
- Last certification
- May 25, 2018
- Beds
- 68
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC · Proprietary
- Enrollment address
- 5555 W Blue Heron Blvd
Riviera Beach, FL 33418-7813 - Hospital subgroups
- Long-term
All disclosed owners & managing parties 17
| 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 Hospitals East LLC |
5% Or Greater Direct Ownership Interest | Mar 12, 1998 | 100% |
| Kindred Healthcare LLC |
5% Or Greater Indirect Ownership Interest | Mar 27, 1998 | 100% |
| Scott Graeser |
Corporate Officer |
Aug 19, 2022 | |
| Michael L. Moody |
Corporate Officer |
Jan 21, 2022 | |
| Dana M Rock |
Corporate Officer |
Dec 9, 2024 | |
| Johnetta M Traylor |
Corporate Officer |
Dec 9, 2024 | |
| Kentucky Hospital Holdings LLC |
5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 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 | Jan 30, 2015 | |
| Knight Health LLC |
5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Knight Intermediate Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Richard L Algood |
Corporate Officer | Jun 15, 2015 | |
| Elayne Honerlaw |
Operational/Managerial Control |
May 1, 2017 | |
| Kentucky Hospital Holdings JV LP |
5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090901000647 | FL | Part a Provider - Hospital | 9931272374 | Practice locations: Riviera Beach, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | Yes |
Addresses
Primary practice location
5555 W Blue Heron Blvd
Riviera Beach, FL 33418-7813
Mailing address
5555 W Blue Heron Blvd
Riviera Beach, FL 33418-7813
Phone (561) 840-0754
Other names
- Kindred Hospital The Palm Beaches
Other providers in Riviera Beach, FL
- Farah Khan
- Zaki Ahmed Khan
- Glenn Angus Kilhenny
- Jacqueline L Kill
- Kind Deeds Billing Solutions , LLC
- Kindred Hospital Palm Beach LLC
- Courtney King
- Natalia Za'Kiya King
- Whitney L Kirk
- Aimee L Kirvin
All providers in Riviera Beach, FL · Long Term Care Hospital in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.