Organization Active NPI

Kindred Hospitals Limited Partnership

Doing business as Kindred Hospital - Louisville

  • Long Term Care Hospital
  • Louisville, KY
National Provider Identifier
1639254121
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
100251 Issued in KY
Legal business name
KINDRED HOSPITALS LIMITED PARTNERSHIP
Doing business as
Kindred Hospital - Louisville
Practice address
1313 Saint Anthony PL
Louisville, KY 40204-1740
Phone
(502) 587-7001
Fax
(502) 587-0060
NPI assigned
Oct 25, 2006
Last updated
Jun 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Johnetta Traylor
Title
Ao
Phone
(502) 596-6063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 100251 KY Primary

Addresses

Primary practice location

1313 Saint Anthony PL
Louisville, KY 40204-1740

Mailing address

680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-6063

Other identifiers 3

IdentifierTypeStateIssuer
000000054423OtherKYBLUE CROSS
1049521OtherKYPASSPORT KY MCD
01022532MedicaidKY

Other names 1

  • Kindred Hospital - Louisville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090313000381 KY Part A Provider - Hospital 9335058692 1 other NPI on this enrollment
Practice locations: Louisville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639254121. Details of each certification follow.

Hospital certification: CCN 182001

Legal name
KINDRED HOSPITALS LIMITED PARTNERSHIP
Doing business as
KINDRED HOSPITAL LOUISVILLE
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Oct 1, 1995
Last certification
Feb 25, 2010
Beds
367
Ownership / control type
Other
Organization structure
PartnershipProprietary
Enrollment address
1313 Saint Anthony PL
Louisville, KY 40204-1740
Main/Primary Hospital Location
Hospital subgroups
Long-term

Other NPIs with the same Medicare PAC ID 6

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

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 LouisvilleCCN 182001 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Beds
367

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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, Fort Worth, TX 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 Jun 24, 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, Fort Worth, TX LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Timothy Phoenix Individual Operational/Managerial ControlCeo / Hospital Administrator Jun 1, 2021
Kindred Nursing Centers Limited Partnership Organization, Louisville, KY For-profit General Partnership Interest Feb 26, 1998 1%
Deanna Schiavone Individual Corporate OfficerCfo Aug 22, 2022
Knight Health Holdings LLC Organization, Louisville, KY LLC, 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%
Knight Intermediate Holdings LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Kindred Hospitals West LLC Organization, Louisville, KY LLC, For-profit General Partnership Interest Mar 12, 1998 1%
Limited Partnership Interest Mar 12, 1998 98%
Kentucky Hospital Holdings JV LP Organization, Fort Worth, TX Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Linn Billingsley Individual Corporate OfficerPresident Feb 1, 2026

Owners & managing parties with NPI records 2

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

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 1

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 7

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1639254121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 SAINT ANTHONY PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041740",
            "telephone_number": "502-587-7001",
            "fax_number": "502-587-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HOSPITALS LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "JOHNETTA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "502-596-6063"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "KY",
            "license": "100251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000054423",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT KY MCD",
            "identifier": "1049521",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01022532",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital - Louisville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital - Louisville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.