Kindred BH Acquisition 3, LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

KINDRED BH ACQUISITION 3, LLC

Doing business as

Talas Harbor at Bullhead City

Practice address

831 Landon Dr
Bullhead City, AZ 86429-7674

Phone

(928) 404-6012

Fax

(928) 404-2553

NPI assigned

Sep 23, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Terrance K Dillon

Title

Assistant Secretary / Ao

Phone

(502) 596-7220

Specialties & licenses 1

Addresses

Other names 1

• Talas Harbor at Bullhead City Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1811668437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-7220",
            "fax_number": "502-596-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 LANDON DR",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864297674",
            "telephone_number": "928-404-6012",
            "fax_number": "928-404-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED BH ACQUISITION 3, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY / AO",
        "authorized_official_telephone_number": "502-596-7220"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Talas Harbor at Bullhead City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerry'S Medical Inc
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• Nadim B Khatib, M.D.
• Jin Koo Kim, MD
• April Janae Kimball, FNP
• Kindred Smiles Family Dental
• Robert L Kistner Jr., M.D.
• Michelle A Klaumann, M.D.
• Vanna T. Klein, RDH
• Dorota Kotyra-Wright

• Psychiatric Hospital in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Psychiatric Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.