Kindred Nursing Centers East, L.L.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH2636 Issued in VA

Legal business name

KINDRED NURSING CENTERS EAST, L.L.C.

Doing business as

Kindred Transitional Care and Rehabilitation-Nansemond Pointe

Practice address

200 W Constance Rd
Suffolk, VA 23434-4413

Phone

(757) 539-8744

Fax

(757) 539-6128

NPI assigned

Oct 24, 2006

Organization subpart

No

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) 596-7300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kindred Transitional Care and Rehabilitation-Nansemond Pointe Doing business as

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506556800000",
    "number": "1447333141",
    "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": "200 W CONSTANCE RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344413",
            "telephone_number": "757-539-8744",
            "fax_number": "757-539-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED NURSING CENTERS EAST, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "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": "502-596-7300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "227352",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49-52472 & 49-60441",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Transitional Care and Rehabilitation-Nansemond Pointe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shamaila Khaliq
• Siddharth Khanna, M.D
• Zia Ann Khould, CNP
• Haley Kimball, COTA
• James Allen Kincaid, MD
• Kindred Nursing Centers East, LLC
• Patricia Arlene King-Jones
• Amanda King
• Amy P King, NP
• Tabitha King, LMT

• Skilled Nursing Facility in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Skilled Nursing Facility in Virginia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.