Kindred Nursing Centers West, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7 Issued in ID

Legal business name

KINDRED NURSING CENTERS WEST, LLC

Practice address

420 Rowe St
Moscow, ID 83843-9319

Phone

(208) 882-4576

Fax

(208) 882-1542

NPI assigned

Jul 26, 2006

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) 596-7563

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1366465742",
    "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": "502-596-7301",
            "fax_number": "502-596-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 ROWE ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838439319",
            "telephone_number": "208-882-4576",
            "fax_number": "208-882-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED NURSING CENTERS WEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2017-10-18",
        "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": "502-596-7563",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "license": "7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805218000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David A Keene, LCSW
• Jenny Lynn Kendall, LICSW
• Selam Kiflemichael, PHARMACIST
• Crystal Kilgore, LCPC
• Rachael Anna Kimble, LMSW
• Jane Kinyoun-Weston, PT
• Shane Kinzer, OD
• Martha A Kitzrow, PHD
• Jeff Kline
• Randall F Kloepfer, M.D.

• Skilled Nursing Facility in Moscow, ID
• Providers in Moscow, ID by specialty
• Skilled Nursing Facility in Idaho

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