Active NPI
Kindred Nursing Centers West, LLC
- Skilled Nursing Facility
- Livermore, CA
National Provider Identifier
1427072040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 020000040
- Legal business name
- KINDRED NURSING CENTERS WEST, LLC
- Doing business as
- Kindred Nursing and Healthcare - Livermore
- Practice address
- 76 Fenton St
Livermore, CA 94550-4144 - Phone
- (925) 443-1800
- Fax
- (925) 443-6640
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 020000040 | CA | Primary |
Addresses
Primary practice location
76 Fenton St
Livermore, CA 94550-4144
Mailing address
680 S. 4TH Street
Louisville, KY 40202-2407
Phone (502) 596-7301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZR05212J | Medicaid | CA |
Other names 1
- Kindred Nursing and Healthcare - Livermore
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0719152 | Kindred Nursing and Healthcare | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1506556800000",
"number": "1427072040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 S. 4TH STREET",
"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": "76 FENTON ST",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945504144",
"telephone_number": "925-443-1800",
"fax_number": "925-443-6640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINDRED NURSING CENTERS WEST, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2017-09-28",
"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": "CA",
"license": "020000040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZR05212J",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kindred Nursing and Healthcare - Livermore",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.