Kindred Development 17, LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

4501 Issued in FL

Legal business name

KINDRED DEVELOPMENT 17, LLC

Practice address

765 W Nasa Blvd
Melbourne, FL 32901-1815

Phone

(321) 733-5725

Fax

(321) 733-5725

NPI assigned

Jun 23, 2009

Organization subpart

No

Name

Johnetta Traylor

Title

Authorized Official

Phone

(502) 596-6063

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kindred Development 17, LLC

  • Rehabilitation Hospital Unit
  • Melbourne, FL
  • NPI 1841886959

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Kindred Hospitals East, LLC

  • Long Term Care Hospital
  • Ocala, FL
  • NPI 1063441269

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Kindred Hospitals East, LLC

  • Rehabilitation Hospital Unit
  • Green Cove Springs, FL
  • NPI 1124651351

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Kindred Hospitals East, LLC

  • Long Term Care Hospital
  • Green Cove Springs, FL
  • NPI 1134204720

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Kindred Hospitals East, LLC

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

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Kindred Hospitals East, LLC

  • Skilled Nursing Facility
  • Hollywood, FL
  • NPI 1518330315

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Kindred Hospitals East, LLC

  • Long Term Care Hospital
  • Tampa, FL
  • NPI 1710062393

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Kindred Hospitals East, LLC

  • Rehabilitation Hospital Unit
  • St Petersburg, FL
  • NPI 1801429030

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Kindred Hospitals East, LLC

  • Long Term Care Hospital
  • Ft Lauderdale, FL
  • NPI 1861577306

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Kindred Hospitals East, LLC

  • Skilled Nursing Facility
  • Greensboro, NC
  • NPI 1134298615

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Kindred Hospitals East, LLC

  • Rehabilitation Hospital Unit
  • Havertown, PA
  • NPI 1245826254

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Kindred Hospitals East, LLC

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

  5% Or Greater Direct Ownership Interest

  CMS ownership

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

• Kindred Development 17, LLC

  • Rehabilitation Hospital Unit
  • Melbourne, FL
  • NPI 1841886959

  5% Or Greater Direct Ownership Interest

  CMS ownership

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

• Kindred Development 17, LLC

  • Rehabilitation Hospital Unit
  • Melbourne, FL
  • NPI 1841886959

  0547306516

  Same PAC ID

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

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Kindred Development 17, LLC

  • Rehabilitation Hospital Unit
  • Melbourne, FL
  • NPI 1841886959

  Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Development 17, LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Kindred Hospitals East LLC, Knight Health Holdings LLC, KN

  CMS ownership
• Kindred Hospital Palm Beach LLC

  • Long Term Care Hospital
  • Riviera Beach, FL
  • NPI 1295905255

  Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Kindred Hospitals East LLC, Knight Health Holdings LLC, Knight Health LLC

  CMS ownership
• Kindred Hospital Palm Beach LLC

  • Rehabilitation Hospital Unit
  • Riviera Beach, FL
  • NPI 1609572312

  Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Kindred Hospitals East LLC, Knight Health Holdings LLC, Knight Health LLC

  CMS ownership
• Kindred Hospitals East, LLC

  • Long Term Care Hospital
  • Ocala, FL
  • NPI 1063441269

  Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

  CMS ownership
• Kindred Hospitals East, LLC

  • Rehabilitation Hospital Unit
  • Green Cove Springs, FL
  • NPI 1124651351

  Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

  CMS ownership
• Kindred Hospitals East, LLC

  • Long Term Care Hospital
  • Green Cove Springs, FL
  • NPI 1134204720

  Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

  CMS ownership
• Kindred Hospitals East, LLC

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

  Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

  CMS ownership
• Kindred Hospitals East, LLC

  • Long Term Care Hospital
  • Tampa, FL
  • NPI 1710062393

  Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

  CMS ownership
• Kindred Hospitals East, LLC

  • Rehabilitation Hospital Unit
  • St Petersburg, FL
  • NPI 1801429030

  Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

  CMS ownership
• Kindred Hospitals East, LLC

  • Long Term Care Hospital
  • Ft Lauderdale, FL
  • NPI 1861577306

  Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

  CMS ownership
• Transitional Hospitals of Tampa LLC

  • Long Term Care Hospital
  • Tampa, FL
  • NPI 1164507752

  Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

  CMS ownership
• Andalusia Physician Practices LLC

  • Rural Health Clinic/Center
  • Andalusia, AL
  • NPI 1417663576

  Knight Health Holdings LLC

  CMS ownership

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

• Temoor Sajjad Anwar, MD

  • Vascular & Interventional Radiology Physician
  • Melbourne, FL
  • NPI 1487851812

  Long-term care hospital

  Care Compare affiliation
• Yanqing Gu, MD

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1841203528

  Long-term care hospital

  Care Compare affiliation
• Aravind K Kumar, MD

  • Internal Medicine Physician
  • West Melbourne, FL
  • NPI 1871539072

  Long-term care hospital

  Care Compare affiliation
• Naveen Kumar, MD

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1295729200

  Long-term care hospital

  Care Compare affiliation
• Adinarayana M. Lagudu, MD

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1720153208

  Long-term care hospital

  Care Compare affiliation
• Brinda G Modh

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1851739304

  Long-term care hospital

  Care Compare affiliation
• Vasudeva R Nalipireddy, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Melbourne, FL
  • NPI 1346392362

  Long-term care hospital

  Care Compare affiliation
• Pratik A Patel, M.D.

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1114360831

  Long-term care hospital

  Care Compare affiliation
• Kishore R. Patsamatla, MD

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1710935267

  Long-term care hospital

  Care Compare affiliation
• Lauren E Romeo, MD

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Cocoa Beach, FL
  • NPI 1013027259

  Long-term care hospital

  Care Compare affiliation
• Mario E Ruberte, MD

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1205857240

  Long-term care hospital

  Care Compare affiliation
• Francisco Roberto Ruiz, MD

  • Gastroenterology Physician
  • Melbourne, FL
  • NPI 1861430134

  Long-term care hospital

  Care Compare affiliation

Listed as

Kindred Hospital MelbourneCCN 102027

Ownership

For profit

Certified

Aug 1, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Beds

60

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Hospital certification: CCN 102027

Legal name

KINDRED DEVELOPMENT 17, LLC

Doing business as

KINDRED HOSPITAL MELBOURNE

Certification status

Active

Provider type (POS)

Hospital – Long-term

Participating since

Aug 1, 2010

Last certification

Dec 13, 2018

Beds

60

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Enrollment address

765 W Nasa Blvd
Melbourne, FL 32901-1815
Main/Primary Hospital Location

Hospital subgroups

General, Acute care, Long-term

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

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

• Kindred Hospital Melbourne Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2025.

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1497983936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 W NASA BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011815",
            "telephone_number": "321-733-5725",
            "fax_number": "321-733-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 W NASA BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011815",
            "telephone_number": "321-733-5725",
            "fax_number": "321-733-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED DEVELOPMENT 17, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "JOHNETTA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "502-596-6063"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "FL",
            "license": "4501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital Melbourne",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital Melbourne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• King Kim, D.M.D.
• Mark Kim, LMHC
• Murray A Kimmel, D.O.
• Kimmelcare Family Practice PA
• Marcia Jean Kindler, P.T.
• Kindred Development 17, LLC
• Chelsea King
• Corbin Dexter King, PHARMD
• Dale King
• Daniel L King, M.D.

• All providers in Melbourne, FL
• Long Term Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.