KND Development 66, LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

KND DEVELOPMENT 66, LLC

Doing business as

Kindred Hospital - Medical Center Holcombe

Practice address

2130 W Holcombe Blvd
Houston, TX 77030-3306

Phone

(713) 218-2300

Fax

(713) 218-1988

NPI assigned

Mar 7, 2016

Last updated

Feb 3, 2017By the provider in NPPES

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) 596-7563

Specialties & licenses 1

Addresses

Other names 1

• Kindred Hospital - Medical Center Holcombe Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598125304. Details of each certification follow.

• CCN 452049 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 452049

Legal name

KINDRED HOSPITAL-MEDICAL CENTER HOLCOMBE

Certification status

Terminated Voluntary: merger or closure, Oct 15, 2016

Provider type (POS)

Hospital – Long-term

Participating since

Mar 1, 1995

Last certification

Jan 6, 2015

Beds

300

Ownership / control type

Private (for profit)

Facility address

2130 W Holcombe Blvd
Houston, TX 77030

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1598125304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "address_2": "KL-5 REIMBURSEMENT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 W HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303306",
            "telephone_number": "713-218-2300",
            "fax_number": "713-218-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KND DEVELOPMENT 66, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2017-02-03",
        "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": "502-596-7563",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital - Medical Center Holcombe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Hospital in Houston, TX
• Providers in Houston, TX by specialty
• Long Term Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.