Organization Active NPI

Kindred Hospitals East, LLC

  • Rehabilitation Hospital Unit
  • St Petersburg, FL
National Provider Identifier
1801429030
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
KINDRED HOSPITALS EAST, LLC
Practice address
3030 6TH St S
St Petersburg, FL 33705-3720
Phone
(727) 894-8719
Fax
(727) 894-0257
NPI assigned
Feb 17, 2020
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
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

3030 6TH St S
St Petersburg, FL 33705-3720

Mailing address

3030 6TH St S
St Petersburg, FL 33705-3720
Phone (727) 894-8719

Other identifiers 1

IdentifierTypeStateIssuer
4457OtherFLHOSPITAL LICENSE

Other names 1

  • Kindred Hospital - Bay Area - St. Petersburg (Acute Rehab Unit) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090313000289 FL Part A Provider - Hospital 0648187674 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Petersburg, FL
O20200505002261 FL Part A Provider - Hospital 0648187674 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
LLCProprietary
Enrollment address
3030 6TH St S
Saint Petersburg, FL 33705-3720
Main/Primary Hospital Location
Hospital subgroups
Long-term

Hospital certification: CCN 10TA09

Legal name
KINDRED HOSPITALS EAST LLC
Doing business as
KINDRED HOSPITAL-BAY AREA-ST PETERSBURG
Organization structure
LLCProprietary
Enrollment address
3030 6TH St S
Saint Petersburg, FL 33705-3720
Hospital Rehabilitation Unit
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).

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: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Kindred Hospital-Bay Area-TampaCCN 10TA09
Ownership
For profit
Certified
Sep 1, 2023

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Kindred Hospital-Bay Area-TampaCCN 102009
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 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 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
Corporate OfficerCfo 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
Corporate OfficerVice President 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%
Mark Laroche Individual Corporate OfficerPresident Dec 23, 2021
Rodney Midkiff Individual Operational/Managerial ControlFacility Ceo Nov 1, 2025

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.

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": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1801429030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337053720",
            "telephone_number": "727-894-8719",
            "fax_number": "727-894-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337053720",
            "telephone_number": "727-894-8719",
            "fax_number": "727-894-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HOSPITALS EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "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": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL LICENSE",
            "identifier": "4457",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital - Bay Area - St. Petersburg (Acute Rehab Unit)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.