Kindred Health Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

056011139 Issued in IL

Legal business name

KINDRED HEALTH CARE

Practice address

1251 College Ave
Alton, IL 62002-6735

Phone

(618) 463-7849

NPI assigned

Oct 19, 2015

Organization subpart

Yes

Parent organization

EUNICE SMITH SKILLED NURSING FACILITYAs reported in NPPES

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

Authorized official

Name

Kiley Havera

Title

Occupational Therapist

Phone

(217) 710-0482

Specialties & licenses 1

Addresses

Part of

Alton Memorial Hospital

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1649641580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 COLLEGE AVENUE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "62002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 COLLEGE AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026735",
            "telephone_number": "618-463-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EUNICE SMITH SKILLED NURSING FACILITY",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "HAVERA",
        "authorized_official_first_name": "KILEY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "217-710-0482"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "056011139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Marie Kemner, MAT, ATC
• Sohaib Muhammad Khan, MD
• Nazanin Kheirkhahan, MD
• James H Kiehne, DDS
• Sanghee Kim-Ansbro
• Kristen Kinnear
• Jerry D Kinney, RN
• Jeffrey H Kiviat, M.D.
• Michael Scott Klein, M.D.
• Kyle Kleinschmidt

• Skilled Nursing Facility in Alton, IL
• Providers in Alton, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.