Organization Active NPI

Kindred Hospitals East, LLC

Doing business as Kindred Hospital - South Florida Ft. Lauderdale (Acute Rehab Unit)

  • Rehabilitation Hospital Unit
  • Fort Lauderdale, FL
National Provider Identifier
1376176503
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
KINDRED HOSPITALS EAST, LLC
Doing business as
Kindred Hospital - South Florida Ft. Lauderdale (Acute Rehab Unit)
Practice address
1516 E Las Olas Blvd
Ft Lauderdale, FL 33301-2346
Phone
(954) 764-8900
Fax
(954) 522-1971
NPI assigned
Feb 17, 2020
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
Rehabilitation Hospital Unit 273Y00000X NU Primary

Addresses

Primary practice location

1516 E Las Olas Blvd
Ft Lauderdale, FL 33301-2346

Mailing address

1516 E Las Olas Blvd
Ft Lauderdale, FL 33301-2346
Phone (954) 764-8900

Other identifiers 1

IdentifierTypeStateIssuer
4440OtherFLHOSPITAL LICENSE

Other names 1

  • Kindred Hospital - South Florida Ft. Lauderdale (Acute Rehab Unit) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080923000547 FL Part A Provider - Hospital 0648187674 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Coral Gables, FL; Ft Lauderdale, FL; Hollywood, FL
O20200430002159 FL Part A Provider - Hospital 0648187674 Practice locations: Ft Lauderdale, FL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1376176503. Details of each certification follow.

Hospital certification: CCN 102010

Legal name
KINDRED HOSPITALS EAST LLC
Doing business as
KINDRED HOSPITAL SOUTH FLORIDA FT LAUDERDALE
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Dec 20, 1988
Last certification
Mar 14, 2025
Beds
238
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
1516 E Las Olas Blvd
Ft Lauderdale, FL 33301-2346
Main/Primary Hospital Location
Hospital subgroups
Long-term

Hospital certification: CCN 10TA10

Legal name
KINDRED HOSPITALS EAST LLC
Doing business as
KINDRED HOSPITAL SOUTH FLORIDA FT LAUDERDALE
Organization structure
LLCProprietary
Enrollment address
1516 E Las Olas Blvd
Ft Lauderdale, FL 33301-2346
Hospital Rehabilitation Unit
Hospital subgroups
Long-term

Other NPIs with the same Medicare PAC ID 15

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

View all 15

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Kindred Hospital-South Florida-Ft LauderdaleCCN 10TA10 · All quality measures
Ownership
For profit
Certified
Sep 1, 2026

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Kindred Hospital-South Florida-Ft LauderdaleCCN 102010 · All quality measures
Ownership
For profit
Certified
Dec 20, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Beds
238

National Provider Directory

National Provider Directory
Tax ID family
Vencor Hospital Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Member organizations 13

Organizations listed as members of this organization in the National Provider Directory.

View all 13

Ownership & related parties

All disclosed owners & managing parties 18

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 Direct 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%
5% Or Greater Indirect Ownership Interest Jul 2, 2010 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
Corporate OfficerVice President, Treasurer Aug 19, 2022
Michael L. Moody Individual Corporate OfficerPresident Jan 21, 2022
Jacinda Jackson Individual Operational/Managerial ControlFacility Ceo Jan 29, 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
Corporate OfficerChief Financial Officer 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 OfficerVice President, Tax Dec 14, 2004
Corporate OfficerVP, Tax Dec 14, 2014
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%
Kentucky Hospital Holdings JV LP Organization, Louisville, KY Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Linn Billingsley Individual Corporate OfficerPresident Feb 1, 2026
David Obrien Individual Operational/Managerial ControlFacility Ceo Nov 27, 2023
Mark Laroche Individual Corporate OfficerPresident Jan 1, 2021

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kindred Hospital the Palm BeachesRiviera Beach, FL, CCN 102025 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998
Kindred Hospital MelbourneMelbourne, FL, CCN 102027 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998
Kindred Hospital MelbourneMelbourne, FL, CCN 10TA27 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998
Kindred Hospital Palm Beach LLCRiviera Beach, FL, CCN 10TA25 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 41

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1376176503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 E LAS OLAS BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012346",
            "telephone_number": "954-764-8900",
            "fax_number": "954-522-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E LAS OLAS BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012346",
            "telephone_number": "954-764-8900",
            "fax_number": "954-522-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HOSPITALS EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "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": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL LICENSE",
            "identifier": "4440",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital - South Florida Ft. Lauderdale (Acute Rehab Unit)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.