Kindred Hospitals East, LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

23450101 Issued in PA

Legal business name

KINDRED HOSPITALS EAST, LLC

Doing business as

Kindred Hospital - Wyoming Valley

Practice address

575 N River St
Seventh Floor
Wilkes Barre, PA 18764-0999

Phone

(570) 552-7620

Fax

(570) 552-7622

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Arthur L. Rothgerber

Title

Sr. Vice President of Reimbursement

Phone

(502) 596-7300

Specialties & licenses 1

Addresses

Other names 1

• Kindred Hospital - Wyoming Valley Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 390301

Legal name

KINDRED HOSPITAL - WYOMING VALLEY

Certification status

Terminated Other: provider status change, Feb 28, 2003

Provider type (POS)

Hospital – Short-term

Participating since

Aug 27, 2002

Last certification

Aug 27, 2002

Beds

36

Ownership / control type

Private (for profit)

Facility address

575 North River Street, 7TH Floor
Wilkes Barre, PA 18764

Hospital certification: CCN 392042

Legal name

KINDRED HOSPITAL - WYOMING VALLEY

Certification status

Terminated Voluntary: other reason for withdrawal, Sep 2, 2014

Provider type (POS)

Hospital – Long-term

Participating since

Mar 1, 2003

Last certification

May 8, 2012

Beds

36

Ownership / control type

Private (for profit)

Facility address

575 North River Street
Wilkes Barre, PA 18764

Member of 1

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

• Kindred Hospitals East, LLC

  • Long Term Care Hospital
  • Philadelphia, PA
  • NPI 1306918040

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1447329461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "address_2": "K-LIVE 5 REIMBURSEMENT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-7300",
            "fax_number": "502-596-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N RIVER ST",
            "address_2": "SEVENTH FLOOR",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187640999",
            "telephone_number": "570-552-7620",
            "fax_number": "570-552-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HOSPITALS EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "ROTHGERBER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT OF REIMBURSEMENT",
        "authorized_official_telephone_number": "502-596-7300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "PA",
            "license": "23450101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital - Wyoming Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kurt A Kienle
• Sandra V Kierzkowski, RT
• Patrick Kilduff, D.O.
• Hyungbae Kim, M.D.
• Taehwan Kim
• Brandon King
• William F King
• King'S College
• Melissa Kintzel, PHARMD
• Amogh Kiran, MD

• Long Term Care Hospital in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Long Term Care Hospital in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.