Organization Active NPI

Kindred Hospitals Limited Partnership

Doing business as Kindred Hospital - Chattanooga

  • Long Term Care Hospital
  • Chattanooga, TN
National Provider Identifier
1427127463
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
0000000069 Issued in TN
Legal business name
KINDRED HOSPITALS LIMITED PARTNERSHIP
Doing business as
Kindred Hospital - Chattanooga
Practice address
709 Walnut St
Chattanooga, TN 37402-1916
Phone
(423) 266-7721
Fax
(423) 266-7516
NPI assigned
Nov 6, 2006
Last updated
Jun 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Johnetta Traylor
Title
Director
Phone
(502) 596-6063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 0000000069 TN Primary

Addresses

Primary practice location

709 Walnut St
Chattanooga, TN 37402-1916

Mailing address

680 S 4TH St
License and Certification
Louisville, KY 40202-2407

Other identifiers 2

IdentifierTypeStateIssuer
1000020OtherTNBLUE CROSS
0442007MedicaidTN

Other names 1

  • Kindred Hospital - Chattanooga Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100721000297 TN Part A Provider - Hospital 9335058692 Practice locations: Chattanooga, TN

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1427127463. Details of each certification follow.

Hospital certification: CCN 442007

Legal name
KINDRED HOSPITALS LIMITED PARTNERSHIP
Doing business as
KINDRED HOSPITAL - CHATTANOOGA
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Oct 1, 1993
Last certification
Apr 27, 2001
Beds
49
Ownership / control type
Private (for profit)
Organization structure
PartnershipProprietary
Enrollment address
709 Walnut Street
Chattanooga, TN 37402-1916
Main/Primary Hospital Location
Hospital subgroups
Long-term

Hospital certification: CCN 440121

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
VENCORE HOSPITAL CHATTANOOGA
Certification status
Terminated Other: provider status change, Sep 30, 1993
Provider type (POS)
Hospital – Short-term
Participating since
Aug 1, 1975
Last certification
Apr 23, 1993
Beds
49
Ownership / control type
Private (not for profit)
Most recent change of ownership
Apr 1, 1993 (1 total)
Facility address
709 Walnut St
Chattanooga, TN 37402

Other NPIs with the same Medicare PAC ID 6

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

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Kindred Hospital - ChattanoogaCCN 442007 · All quality measures
Ownership
For profit
Certified
Oct 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Beds
49

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0309919Kindred Hospital Chattanooga709 Walnut St, Chattanooga, TN 37402AccreditationNov 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Kindred Hospital-Nashville10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Ownership & related parties

All disclosed owners & managing parties 17

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 Jun 23, 2010 100%
Kentucky Hospital Intermediate LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Kindred Healthcare LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 27, 2015 100%
Jacquelyn Joy Davis Individual W-2 Managing EmployeeChain Home Office Administrator Dec 16, 2023
Scott Graeser Individual Corporate OfficerVP, Treasurer Sep 1, 2025
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%
Mark Laroche Individual Corporate OfficerPresident Sep 1, 2025
Kindred Nursing Centers Limited Partnership Organization, Louisville, KY For-profit General Partnership Interest Nov 24, 1998 1%
Deanna Schiavone Individual Corporate OfficerPresident and Cfo Nov 17, 2023
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 Apr 27, 2015
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%
Kindred Hospitals West LLC Organization, Louisville, KY LLC, For-profit General Partnership Interest Jun 23, 2010 1%
Limited Partnership Interest Mar 12, 1998 98%
Kentucky Hospital Holdings JV LP Organization, Louisville, KY Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1427127463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "address_2": "LICENSE AND CERTIFICATION",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "fax_number": "502-212-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 WALNUT ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374021916",
            "telephone_number": "423-266-7721",
            "fax_number": "423-266-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HOSPITALS LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "JOHNETTA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "502-596-6063"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "TN",
            "license": "0000000069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1000020",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442007",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital - Chattanooga",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital - Chattanooga",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.