Kindred Nursing Centers Limited Partnership

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000161 Issued in TN

Legal business name

KINDRED NURSING CENTERS LIMITED PARTNERSHIP

Practice address

1520 Grove St
Loudon, TN 37774-1575

Phone

(865) 458-5436

Fax

(865) 458-3033

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Marilyn Weaver

Title

Assistant Secretary

Phone

(502) 596-7300

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Kindred Nursing and Rehabilitation - Loudon Doing business as

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505433600000",
    "number": "1356362016",
    "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": "1520 GROVE ST",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377741575",
            "telephone_number": "865-458-5436",
            "fax_number": "865-458-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED NURSING CENTERS LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-09-15",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44-5253 & 7440475",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "166253",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARITEN HEALTHCARE",
            "identifier": "20377",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Nursing and Rehabilitation - Loudon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Johnson, COTA/L
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• Karen Sue Keith, APN
• Robert J Kellett, MD
• Susan Loraine Kirkland
• Stacy Kizziah
• Milton N Kondiles, DPM
• Chris Kszos, DPT
• Tonya E Kukla, CRNA

• All providers in Loudon, TN
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.