Kindred Hospitals East, LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

KINDRED HOSPITALS EAST, LLC

Doing business as

Kindred Hospital - St. Louis at Mercy

Practice address

615 S New Ballas Rd
7TH Floor
Saint Louis, MO 63141-8221

Phone

(314) 567-4626

Fax

(314) 567-4463

NPI assigned

Jun 15, 2012

Last updated

Sep 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marilyn A. Weaver

Title

Assistant Secretary

Phone

(502) 596-7563

Specialties & licenses 1

Addresses

Other names 1

• Kindred Hospital - St. Louis at Mercy Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427311356. Details of each certification follow.

• CCN 262010 Hospital · Active · Details

Hospital certification: CCN 262010

Legal name

KINDRED HOSPITALS EAST LLC

Doing business as

KINDRED HOSPITAL ST. LOUIS SOUTH

Certification status

Active

Provider type (POS)

Hospital – Long-term

Participating since

Aug 30, 1991

Last certification

Jun 17, 2010

Beds

60

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Enrollment address

10018 Kennerly Rd
3Rd FLR Hyland BLDG B
Saint Louis, MO 63128-2106
Main/Primary Hospital Location

Hospital subgroups

Long-term

Other NPIs on the same Medicare enrollment 2

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

• Kindred Hospitals East, LLC

  dba Kindred Hospital - St. Louis - St. Anthonys

  • Long Term Care Hospital
  • Saint Louis, MO
  • NPI 1366529364

  O20080924000579

  Same enrollment
• Kindred Hospitals East, LLC

  dba Kindred Hospital - St. Louis

  • Long Term Care Hospital
  • Saint Louis, MO
  • NPI 1447337449

  O20080924000579

  Same enrollment

Listed as

Kindred Hospital St Louis SouthCCN 262010 · All quality measures

Ownership

For profit

Certified

Aug 30, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Beds

60

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Kindred Hospitals East, LLC

  dba Kindred Hospital - South Florida Ft. Lauderdale (Acute Rehab Unit)

  • Rehabilitation Hospital Unit
  • Fort Lauderdale, FL
  • NPI 1376176503

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 3

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

• Sreenu Ada, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1134171200

  Long-term care hospital

  Care Compare affiliation
• Jabon L Ellis, D.O.

  • Hospitalist Physician
  • Saint Louis, MO
  • NPI 1023371333

  Long-term care hospital

  Care Compare affiliation
• Junaid Munshi, M.D.

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1629411129

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1427311356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "address_2": "KL-5 REIMBURSEMENT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-7220",
            "fax_number": "502-596-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD",
            "address_2": "7TH FLOOR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418221",
            "telephone_number": "314-567-4626",
            "fax_number": "314-567-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HOSPITALS EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2016-09-22",
        "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"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital - St. Louis at Mercy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alisa Kindig, CWHNP
• Jane Kindle, RD, LD
• Katherine Ann Kindle, MD
• Joan H Kindleberger
• Kindred Hospitals East, LLC (Kindred Hospital - St. Louis - St. Anthonys)
• Kindred Hospitals East, LLC (Kindred Hospital - St. Louis)
• Kindred Village Corporation (Da Birth Whisperer)
• Carole Severan Kindred, RN
• Sally Kinealy
• Kinesiology Center of Greater St Louis Inc

• Long Term Care Hospital in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Long Term Care Hospital in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.