NPIMap

Organization Active NPI

Kindred Hospitals East, LLC

Doing business as Kindred Hospital New Jersey - Rahway

  • Long Term Care Hospital
  • Rahway, NJ
National Provider Identifier
1609954551
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
23268 Issued in NJ
Legal business name
KINDRED HOSPITALS EAST, LLC
Doing business as
Kindred Hospital New Jersey - Rahway
Practice address
865 Stone St
4TH Floor
Rahway, NJ 07065-2742
Phone
(732) 453-2950
Fax
(732) 381-9370
NPI assigned
Nov 1, 2006
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 23268 NJ Primary

Addresses

Primary practice location

865 Stone St
4TH Floor
Rahway, NJ 07065-2742

Mailing address

865 Stone St
4TH Floor
Rahway, NJ 07065-2742
Phone (732) 453-2950

Other identifiers 2

IdentifierTypeStateIssuer
312020OtherNJBLUE CROSS
0054208MedicaidNJ

Other names 1

  • Kindred Hospital New Jersey - Rahway Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318000618 NJ Part A Provider - Hospital 0648187674 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dover, NJ; Rahway, NJ

Hospital certification: CCN 312020

Legal name
KINDRED HOSPITALS EAST LLC
Doing business as
KINDRED HOSPITAL NEW JERSEY MORRIS COUNTY
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Mar 1, 2005
Last certification
May 16, 2024
Beds
45
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
400 W Blackwell St
Dover, NJ 78012525
Main/Primary Hospital Location
Hospital subgroups
Long-term

Other NPIs on the same Medicare enrollment 1

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 New Jersey - Morris CountyCCN 312020 · All quality measures
Ownership
For profit
Certified
Mar 1, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Beds
45

National Provider Directory

National Provider Directory
Tax ID family
Vencor Hospital19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

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 May 1, 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 OfficerVice President, Treasurer Aug 19, 2022
Michael L. Moody Individual Corporate OfficerPresident Jan 21, 2022
Andrew Donet Individual Operational/Managerial ControlCeo / Hospital Administrator Nov 16, 2020
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 OfficerChief Financial Officer 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 Dec 14, 2004
Knight Health LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Richard L Algood Individual Corporate OfficerSr. Vice President, Reimbursement Jul 8, 2015
Other Jul 8, 2015
Kentucky Hospital Holdings JV LP Organization, Louisville, KY Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 11

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": "1710115200000",
    "number": "1609954551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 STONE ST",
            "address_2": "4TH FLOOR",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652742",
            "telephone_number": "732-453-2950",
            "fax_number": "732-381-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 STONE ST",
            "address_2": "4TH FLOOR",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652742",
            "telephone_number": "732-453-2950",
            "fax_number": "732-381-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HOSPITALS EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "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": "NJ",
            "license": "23268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "312020",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054208",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital New Jersey - Rahway",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital New Jersey - Rahway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rahway, NJ

Sources for this page

Verify at the official NPI Registry.