Kindred Nursing Centers Limited Partnership

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000012 Issued in TN

Legal business name

KINDRED NURSING CENTERS LIMITED PARTNERSHIP

Doing business as

Kindred Nursing and Rehabilitation - Fairpark

Practice address

307 N 5TH St
Maryville, TN 37804-2921

Phone

(865) 983-0261

Fax

(865) 984-7669

NPI assigned

Jul 22, 2006

Last updated

Sep 18, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Marilyn A. Weaver

Title

Assistant Secretary

Phone

(502) 596-7300

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Kindred Nursing and Rehabilitation - Fairpark Doing business as

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1346261435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S. FOURTH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-6505",
            "fax_number": "502-596-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N 5TH ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378042921",
            "telephone_number": "865-983-0261",
            "fax_number": "865-984-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED NURSING CENTERS LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH PRTNSHP.",
            "identifier": "100031947",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "162316",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44-5286 & 7440480",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARITEN",
            "identifier": "702003623",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE",
            "identifier": "162316",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Nursing and Rehabilitation - Fairpark",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Kilburn, OT
• Daniel Kim, M.D.
• Min Sun Kim, MD
• John Thomas Kimrey
• Kindred Nursing Centers Limited Partnership (Kindred Transitional Care and Rehabilitation-Maryville)
• Amanda Rae King, PA-C
• Marie King
• Rae-Lyn Chere King, FNP
• Sarah Eliazbeth King
• David Kinlaw, CRNA

• Skilled Nursing Facility in Maryville, TN
• Providers in Maryville, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.