Organization Active NPI

Kindred Hospital Palm Beach LLC

Doing business as Kindred Hospital The Palm Beaches

  • Long Term Care Hospital
  • Riviera Beach, FL
National Provider Identifier
1295905255
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
KINDRED HOSPITAL PALM BEACH LLC
Doing business as
Kindred Hospital The Palm Beaches
Practice address
5555 W Blue Heron Blvd
Riviera Beach, FL 33418-7813
Phone
(502) 596-7300
NPI assigned
Mar 6, 2008
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 Primary

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 1

  • Kindred Hospital The Palm Beaches Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090901000647 FL Part A Provider - Hospital 9931272374 Practice locations: Riviera Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295905255. Details of each certification follow.

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
LLCProprietary
Enrollment address
5555 W Blue Heron Blvd
Riviera Beach, FL 33418-7813
Main/Primary Hospital Location
Hospital subgroups
Long-term

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Kindred Hospital the Palm BeachesCCN 102025 · All quality measures
Ownership
For profit
Certified
Jun 1, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Beds
68

National Provider Directory

National Provider Directory

Member of 2

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

Ownership & related parties

All disclosed owners & managing parties 17

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 Indirect Ownership Interest Feb 26, 1998 100%
Kentucky Hospital Intermediate LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Kindred Hospitals East LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Direct Ownership Interest Mar 12, 1998 100%
Kindred Healthcare LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 27, 1998 100%
Scott Graeser Individual Corporate OfficerVP, Treasurer Aug 19, 2022
Michael L. Moody Individual Corporate OfficerPresident Jan 21, 2022
Dana M Rock Individual Corporate OfficerAssistant Administrator Dec 9, 2024
Johnetta M Traylor Individual Corporate OfficerAdministrator Dec 9, 2024
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 OfficerCfo 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 Jan 30, 2015
Knight Health LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Knight Intermediate Holdings LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Richard L Algood Individual Corporate Officer Jun 15, 2015
Elayne Honerlaw Individual Operational/Managerial ControlHospital Ceo (Administrator) May 1, 2017
Kentucky Hospital Holdings JV LP Organization, Louisville, KY For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%

Owners & managing parties with NPI records 16

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 16

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

Affiliated clinicians 11

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": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1295905255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 W BLUE HERON BLVD",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334187813",
            "telephone_number": "561-840-0754",
            "fax_number": "561-842-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 W BLUE HERON BLVD",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334187813",
            "telephone_number": "502-596-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HOSPITAL PALM BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital The Palm Beaches",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital The Palm Beaches",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riviera Beach, FL

Sources for this page

Verify at the official NPI Registry.