NPIMap

Organization Active NPI

Kindred Hospitals East, LLC

Doing business as Kindred Hospital - Bay Area - Tampa

  • Long Term Care Hospital
  • Tampa, FL
National Provider Identifier
1710062393
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
4203 Issued in FL
Legal business name
KINDRED HOSPITALS EAST, LLC
Doing business as
Kindred Hospital - Bay Area - Tampa
Practice address
4555 S Manhattan Ave
Tampa, FL 33611-2305
Phone
(813) 839-6341
Fax
(813) 837-3255
NPI assigned
Oct 25, 2006
Last updated
Mar 11, 2024By the provider in NPPES
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 4203 FL Primary

Addresses

Primary practice location

4555 S Manhattan Ave
Tampa, FL 33611-2305

Mailing address

4555 S Manhattan Ave
Tampa, FL 33611-2305
Phone (813) 839-6341

Other names 1

  • Kindred Hospital - Bay Area - Tampa Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090313000289 FL Part A Provider - Hospital 0648187674 2 other NPIs on this enrollment
Practice locations: Saint Petersburg, FL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1710062393. Details of each certification follow.

Hospital certification: CCN 102009

Legal name
KINDRED HOSPITALS EAST LLC
Doing business as
KINDRED HOSPITAL-BAY AREA-ST PETERSBURG
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Nov 1, 1988
Last certification
Apr 14, 2012
Beds
155
Ownership / control type
Private (for profit)
Most recent change of ownership
May 1, 1998 (2 total)
Organization structure
LLCProprietary
Enrollment address
3030 6TH St S
Saint Petersburg, FL 33705-3720
Main/Primary Hospital Location
Hospital subgroups
Long-term

Hospital certification: CCN 100115

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WEST SHORE HOSPITAL
Certification status
Terminated Voluntary: other reason for withdrawal, Nov 1, 1988
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 16, 1989
Beds
73
Ownership / control type
Private (for profit)
Most recent change of ownership
Nov 1, 1988 (2 total)
Facility address
4555 Manhattan Ave S
Tampa, FL 33611

Other NPIs with the same Medicare PAC ID 15

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

View all 15

Other NPIs on the same Medicare enrollment 2

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-Bay Area-TampaCCN 102009 · All quality measures
Ownership
For profit
Certified
Nov 1, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Beds
155

National Provider Directory

National Provider Directory

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 Mar 27, 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 Feb 26, 1998 100%
Jacquelyn Joy Davis Individual Contracted Managing EmployeeChain Home Office Administrator Dec 16, 2023
Scott Graeser Individual Corporate OfficerVice President, Treasurer Aug 19, 2022
Jeffrey Harrison Individual Contracted Managing EmployeeMarket Ceo Jul 16, 2023
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 OfficerPresident and Cfo 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%
Knight Intermediate Holdings LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Kentucky Hospital Holdings JV LP Organization, Louisville, KY Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Kindred Hospital the Palm BeachesRiviera Beach, FL, CCN 102025 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998
Kindred Hospital MelbourneMelbourne, FL, CCN 102027 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998
Kindred Hospital MelbourneMelbourne, FL, CCN 10TA27 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998
Kindred Hospital Palm Beach LLCRiviera Beach, FL, CCN 10TA25 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 97

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

  • Kindred Development 17, LLC

    dba Kindred Hospital Melbourne

    • Long Term Care Hospital
    • Melbourne, FL
    • NPI 1497983936

    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 Development 17, LLC

    dba Kindred Hospital Melbourne (Acute Rehab Unit)

    • Rehabilitation Hospital Unit
    • Melbourne, FL
    • NPI 1841886959

    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 Hospital Palm Beach LLC

    dba Kindred Hospital The Palm Beaches

    • 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, Knight Health Holdings LLC, Knight Health LLC, Knight Intermediate Holdings LLC

    CMS ownership
  • Kindred Hospital Palm Beach LLC

    dba Kindred Hospital The Palm Beaches (Acute Rehab Unit)

    • 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, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • Kindred Hospitals East, LLC

    dba Kindred Hospital - Ocala

    • 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, Knight Intermediate Holdings LLC

    CMS ownership
  • Kindred Hospitals East, LLC

    dba Kindred Hospital - North Florida (Acute Rehab Unit)

    • 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

    dba Kindred Hospital - North Florida

    • 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, Knight Intermediate Holdings LLC

    CMS ownership
  • Kindred Hospitals East, LLC

    dba Kindred Hospital - South Florida Ft. Lauderdale (Acute Rehab Unit)

    • Rehabilitation Hospital Unit
    • Fort 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

    dba Kindred Hospital - Bay Area - St. Petersburg (Acute Rehab Unit)

    • 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

    dba Kindred Hospital - South Florida Ft. Lauderdale

    • Long Term Care Hospital
    • Fort 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, Knight Intermediate Holdings LLC

    CMS ownership
  • Transitional Hospitals of Tampa LLC

    dba Kindred Hospital - Central Tampa

    • 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, Knight Intermediate Holdings LLC

    CMS ownership
  • Andalusia Physician Practices LLC

    dba Andalusia Family Healthcare

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

    Knight Health Holdings LLC, Knight Intermediate Holdings LLC

    CMS ownership
View all 97

Practitioners & affiliated clinicians

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": "1710115200000",
    "number": "1710062393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 S MANHATTAN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112305",
            "telephone_number": "813-839-6341",
            "fax_number": "813-837-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 S MANHATTAN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112305",
            "telephone_number": "813-839-6341",
            "fax_number": "813-837-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HOSPITALS EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "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": "FL",
            "license": "4203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital - Bay Area - Tampa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital - Bay Area - Tampa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.