Organization Active NPI

Kindred Hospitals East, LLC

Doing business as Kindred Hospital - St. Louis

  • Long Term Care Hospital
  • Saint Louis, MO
National Provider Identifier
1447337449
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
KINDRED HOSPITALS EAST, LLC
Doing business as
Kindred Hospital - St. Louis
Practice address
4930 Lindell Blvd
Saint Louis, MO 63108-1510
Phone
(314) 361-8700
Fax
(314) 361-1210
NPI assigned
Nov 1, 2006
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Johnetta Traylor
Title
Dir Licensure & Certification
Phone
(502) 596-6063

Specialties & licenses 1

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

Addresses

Primary practice location

4930 Lindell Blvd
Saint Louis, MO 63108-1510

Mailing address

4930 Lindell Blvd
Saint Louis, MO 63108-1510
Phone (314) 361-8700

Other names 1

  • Kindred Hospital - St. Louis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080924000579 MO Part A Provider - Hospital 0648187674 2 other NPIs on this enrollment
Practice locations: Saint Louis, MO

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1447337449. Details of each certification follow.

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

Hospital certification: CCN 260093

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
LINDELL HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Jan 21, 1988
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 31, 1986
Beds
81
Ownership / control type
Other
Facility address
4930 Lindell Blvd
Saint Louis, MO 63108

Other NPIs with the same Medicare PAC ID 15

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

View all 15

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Long-term care hospital

Medicare Care Compare
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

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Kindred Healthcare Operating LLC Organization, Louisville, KY LLC 5% Or Greater Direct Ownership Interest Feb 26, 1998 100%
Kentucky Hospital Intermediate LLC Organization, Fort Worth, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Kindred Healthcare LLC Organization, Louisville, KY For-profit 5% Or Greater Indirect Ownership Interest Mar 27, 1998 100%
Scott Graeser Individual Corporate OfficerVice President, Treasurer Aug 19, 2022
Michael L. Moody Individual Corporate OfficerPresident Jan 21, 2022
Dana M Rock Individual Corporate OfficerAssistant Administrator Dec 9, 2024
Johnetta M Traylor Individual Corporate OfficerAdministrator Dec 9, 2024
Kevin Shrake Individual Operational/Managerial ControlHospital Ceo (Administrator) May 16, 2019
Kentucky Hospital Holdings LLC Organization, Fort Worth, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Deanna Schiavone Individual Corporate OfficerChief Financial Officer Aug 22, 2022
Knight Health Holdings LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Michael Joseph Bean Individual Corporate Officer Jul 7, 2015
Knight Health LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Kentucky Hospital Holdings JV LP Organization, Fort Worth, TX 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kindred Hospital the Palm BeachesRiviera Beach, FL, CCN 102025 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998
Kindred Hospital MelbourneMelbourne, FL, CCN 102027 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998
Kindred Hospital MelbourneMelbourne, FL, CCN 10TA27 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998
Kindred Hospital Palm Beach LLCRiviera Beach, FL, CCN 10TA25 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 2

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 3

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1447337449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 LINDELL BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081510",
            "telephone_number": "314-361-8700",
            "fax_number": "314-361-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 LINDELL BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081510",
            "telephone_number": "314-361-8700",
            "fax_number": "314-361-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HOSPITALS EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "JOHNETTA",
        "authorized_official_title_or_position": "DIR LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "502-596-6063"
    },
    "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",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital - St. Louis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.