Organization Active NPI

THC - Orange County LLC

Doing business as Kindred Hospital - Los Angeles

  • Long Term Care Hospital
  • Los Angeles, CA
National Provider Identifier
1447335146
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
930000053 Issued in CA
Legal business name
THC - ORANGE COUNTY LLC
Doing business as
Kindred Hospital - Los Angeles
Practice address
5525 W Slauson Ave
Los Angeles, CA 90056
Phone
(310) 642-0325
Fax
(310) 642-0338
NPI assigned
Oct 25, 2006
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Kathy Teague
Title
Vice President, Corporate Secretary
Phone
(629) 253-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 930000053 CA Primary

Addresses

Primary practice location

5525 W Slauson Ave
Los Angeles, CA 90056

Mailing address

5525 W Slauson Ave
Los Angeles, CA 90056-1047
Phone (310) 642-0325

Other identifiers 1

IdentifierTypeStateIssuer
HSC32032GMedicaidCA

Other names 1

  • Kindred Hospital - Los Angeles Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030528000009 CA Part A Provider - Hospital 8426967795 1 other NPI on this enrollment
Practice locations: Los Angeles, CA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1447335146. Details of each certification follow.

Hospital certification: CCN 052032

Legal name
THC - ORANGE COUNTY LLC
Doing business as
KINDRED HOSPITAL - LOS ANGELES
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jan 29, 1992
Last certification
Jan 13, 2023
Beds
81
Ownership / control type
Private (for profit)
Most recent change of ownership
Sep 1, 2001 (1 total)
Organization structure
LLCProprietary
Enrollment address
5525 W Slauson Ave
Los Angeles, CA 90056-1047
Main/Primary Hospital Location
Hospital subgroups
Long-term

Hospital certification: CCN 050086

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
VENCOR HOSPITAL - LOS ANGELES
Certification status
Terminated Voluntary: merger or closure, Jun 1, 1990
Provider type (POS)
Hospital – Short-term
Participating since
Apr 1, 1971
Last certification
Jun 25, 1984
Beds
103
Ownership / control type
Private (for profit)
Facility address
5525 W Slauson Ave
Los Angeles, CA 90056

Other NPIs with the same Medicare PAC ID 7

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 - Los AngelesCCN 052032 · All quality measures
Ownership
For profit
Certified
Jan 29, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Beds
81

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
05D0989822Kindred Hospital Los Angeles Abg5525 W Slauson Ave, Los Angeles, CA 90056AccreditationOct 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
THC Orange County Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

5525 W Slauson Ave
Los Angeles, CA 90056
Phone (310) 642-0325

Ownership & related parties

All disclosed owners & managing parties 15

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 Feb 26, 1998 100%
Kentucky Hospital Intermediate LLC Organization, Louisville, KY LLC, 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 Mar 27, 1998 100%
Scott Graeser Individual Corporate OfficerVP, Treasurer Aug 19, 2022
Jason Perez Individual Operational/Managerial ControlFacility Ceo Jun 1, 2022
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%
Deanna Schiavone Individual Corporate OfficerCfo Aug 22, 2022
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 Jun 12, 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%
Kentucky Hospital Holdings JV LP Organization, Louisville, KY For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Linn Billingsley Individual Corporate OfficerPresident Feb 1, 2026

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 16

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.

View all 16

Affiliated clinicians 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1447335146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 W SLAUSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561047",
            "telephone_number": "310-642-0325",
            "fax_number": "310-642-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 W SLAUSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90056",
            "telephone_number": "310-642-0325",
            "fax_number": "310-642-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THC - ORANGE COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "VICE PRESIDENT, CORPORATE SECRETARY",
        "authorized_official_telephone_number": "629-253-5121"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CA",
            "license": "930000053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC32032G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital - Los Angeles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital - Los Angeles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.