Active NPI
Kindred Hospitals East, LLC
- Long Term Care Hospital
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- 4203
- Legal business name
- KINDRED HOSPITALS EAST, LLC
- Practice address
- 4555 S Manhattan Ave
Tampa, FL 33611-2305 - Phone
- (813) 839-6341
- Fax
- (813) 837-3255
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010234200 | Medicaid | FL | |
| Y31 | Other | FL | BLUE CROSS |
Other names 1
- Kindred Hospital - Bay Area - Tampa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090313000289 | FL | Part A Provider - Hospital | 0648187674 |
2 other NPIs on this enrollment Practice locations: Saint Petersburg, FL |
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
- LLC
- Enrollment address
- 3030 6TH St S
Saint Petersburg, FL 33705-3720 - Hospital subgroups
- Long-term
Other NPIs with the same Medicare PAC ID 15
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Rehabilitation Hospital Unit
- Green Cove Springs, FL
- NPI 1124651351
0648187674
-
- Long Term Care Hospital
- Green Cove Springs, FL
- NPI 1134204720
0648187674
-
- Rehabilitation Hospital Unit
- Ft Lauderdale, FL
- NPI 1376176503
0648187674
-
- Rehabilitation Hospital Unit
- St Petersburg, FL
- NPI 1801429030
0648187674
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Long Term Care Hospital
- St Petersburg, FL
- NPI 1396820973
O20090313000289
-
- Rehabilitation Hospital Unit
- St Petersburg, FL
- NPI 1801429030
O20090313000289
Care Compare: Long-term care hospital
Medicare Care Compare- Listed as
- Kindred Hospital-Bay Area-Tampa
- Ownership
- For profit
- Certified
- Nov 1, 1988
- Medicare certification status
- Active
- Beds
- 155
National Provider Directory
National Provider DirectoryLocations
4801 N Howard Ave
Tampa, FL 33603
Phone (727) 581-4800
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kindred Healthcare Operating LLC | 5% Or Greater Direct Ownership Interest | Mar 27, 1998 | 100% |
| Kentucky Hospital Intermediate LLC | 5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Kindred Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Feb 26, 1998 | 100% |
| Jacquelyn Joy Davis | Contracted Managing Employee | Dec 16, 2023 | |
| Scott Graeser | Corporate Officer | Aug 19, 2022 | |
| Jeffrey Harrison | Contracted Managing Employee | Jul 16, 2023 | |
| Dana M Rock | Corporate Officer | Dec 9, 2024 | |
| Johnetta M Traylor | Corporate Officer | Dec 9, 2024 | |
| Kentucky Hospital Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 2, 2018 | 100% |
| Deanna Schiavone | Corporate Officer | Aug 22, 2022 | |
| Knight Health Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Michael Joseph Bean | Corporate Officer | Dec 14, 2004 | |
| Knight Health LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Knight Intermediate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Kentucky Hospital Holdings JV LP | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Kindred Hospital the Palm Beaches | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Mar 12, 1998 |
| Kindred Hospital Melbourne | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Mar 12, 1998 |
| Kindred Hospital Melbourne | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Mar 12, 1998 |
| Kindred Hospital Palm Beach LLC | 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.
-
- Long Term Care Hospital
- Melbourne, FL
- NPI 1497983936
5% Or Greater Direct Ownership Interest
-
- Rehabilitation Hospital Unit
- Melbourne, FL
- NPI 1841886959
5% Or Greater Direct Ownership Interest
-
- Long Term Care Hospital
- Riviera Beach, FL
- NPI 1295905255
5% Or Greater Direct Ownership Interest
-
- Rehabilitation Hospital Unit
- Riviera Beach, FL
- NPI 1609572312
5% Or Greater Direct Ownership Interest
Facilities with the same owner 97
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- 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
-
- 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
-
- 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
-
- 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
-
- 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
-
- 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
-
- 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
-
- Rehabilitation Hospital Unit
- Ft 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
-
- 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
-
- Long Term Care Hospital
- Ft 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
-
- 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
-
- Rural Health Clinic/Center
- Andalusia, AL
- NPI 1417663576
Knight Health Holdings LLC, Knight Intermediate Holdings LLC
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1275847071
Long-term care hospital
-
- Internal Medicine Physician
- Temple Terrace, FL
- NPI 1710180880
Long-term care hospital
-
- Foot & Ankle Surgery Podiatrist
- Tampa, FL
- NPI 1386743383
Long-term care hospital
-
- Internal Medicine Physician
- Largo, FL
- NPI 1396914297
Long-term care hospital
-
- Physical Medicine & Rehabilitation Physician
- Tampa, FL
- NPI 1205464310
Inpatient rehabilitation facility
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010234200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "Y31",
"state": "FL"
}
],
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.