NPIMap

Organization Active NPI

Kindred Hospitals East, LLC

Doing business as Kindred Hospital - South Florida - Hollywood

  • Long Term Care Hospital
  • Hollywood, FL
National Provider Identifier
1811072341
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
4177 Issued in FL
Legal business name
KINDRED HOSPITALS EAST, LLC
Doing business as
Kindred Hospital - South Florida - Hollywood
Practice address
1859 Van Buren St
Hollywood, FL 33020-5127
Phone
(954) 920-9000
Fax
(954) 926-3887
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU
Long Term Care Hospital 282E00000X 4177 FL Primary

Addresses

Primary practice location

1859 Van Buren St
Hollywood, FL 33020-5127

Mailing address

1859 Van Buren St
Hollywood, FL 33020-5127
Phone (954) 920-9000

Other identifiers 2

IdentifierTypeStateIssuer
010191500MedicaidFL
201OtherFLBLUE CROSS

Other names 1

  • Kindred Hospital - South Florida - Hollywood Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080923000547 FL Part A Provider - Hospital 0648187674 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Coral Gables, FL; Ft Lauderdale, FL; Hollywood, FL

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1811072341. Details of each certification follow.

Hospital certification: CCN 102010

Legal name
KINDRED HOSPITALS EAST LLC
Doing business as
KINDRED HOSPITAL SOUTH FLORIDA FT LAUDERDALE
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Dec 20, 1988
Last certification
Mar 14, 2025
Beds
238
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
1516 E Las Olas Blvd
Ft Lauderdale, FL 33301-2346
Main/Primary Hospital Location
Hospital subgroups
Long-term

Hospital certification: CCN 100042

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
VENCOR HOSPITAL HOLLYWOOD
Certification status
Terminated Other: provider status change, May 1, 1994
Provider type (POS)
Hospital – Short-term
Participating since
Aug 8, 1968
Last certification
Dec 12, 1991
Beds
124
Ownership / control type
Private (for profit)
Most recent change of ownership
Oct 14, 1993 (1 total)
Facility address
1859 Van Buren St
Hollywood, FL 33020

Hospital certification: CCN 102014

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
THC - HOLLYWOOD
Certification status
Terminated Voluntary: merger or closure, Jul 1, 1997
Provider type (POS)
Hospital – Long-term
Participating since
May 1, 1994
Last certification
Dec 12, 1991
Beds
124
Ownership / control type
Private (for profit)
Facility address
1859 Van Buren Street
Hollywood, FL 33020

Other NPIs on the same Medicare enrollment 3

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-South Florida-Ft LauderdaleCCN 102010 · All quality measures
Ownership
For profit
Certified
Dec 20, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Beds
238

National Provider Directory

National Provider Directory
Tax ID family
Vencor Hospital Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

3105 N University Dr
Hollywood, FL 33024
Phone (954) 438-6080

Ownership & related parties

All disclosed owners & managing parties 16

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 Feb 26, 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 Mar 27, 1998 100%
Scott Graeser Individual Corporate OfficerVP, Treasurer Aug 19, 2022
Michael L. Moody Individual Corporate OfficerPresident Jan 21, 2022
Jacinda Jackson Individual Operational/Managerial ControlFacility Ceo Jan 29, 2022
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 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
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%
Linn Billingsley Individual Corporate OfficerPresident Feb 1, 2026

Practitioners & affiliated clinicians

Affiliated clinicians 41

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 41

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": "1811072341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 VAN BUREN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205127",
            "telephone_number": "954-920-9000",
            "fax_number": "954-926-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 VAN BUREN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205127",
            "telephone_number": "954-920-9000",
            "fax_number": "954-926-3887"
        }
    ],
    "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "FL",
            "license": "4177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010191500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital - South Florida - Hollywood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital - South Florida - Hollywood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.