Active NPI
Kindred Hospitals East, LLC
- Rehabilitation Hospital Unit
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4457 | Other | FL | HOSPITAL LICENSE |
Other names 1
- Kindred Hospital - Bay Area - St. Petersburg (Acute Rehab Unit)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 3030 6TH St S
Saint Petersburg, FL 33705-3720 - 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
- 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
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
Care Compare: Inpatient rehabilitation facility
Medicare Care Compare- Listed as
- Kindred Hospital-Bay Area-Tampa
- Ownership
- For profit
- Certified
- Sep 1, 2023
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 DirectoryOwnership & 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.
| 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 | |
| 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 | |
| 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% |
| Mark Laroche | Corporate Officer | Dec 23, 2021 | |
| Rodney Midkiff | Operational/Managerial Control | 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.
| 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
-
- 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
-
- 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
-
- 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
-
- Long Term Care Hospital
- Tampa, FL
- NPI 1710062393
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
-
- 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
-
- Rural Health Clinic/Center
- Andalusia, AL
- NPI 1417663576
Knight Health 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": "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
- 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.