Organization Active NPI

Dallas Ltach, LLC

Doing business as Kindred Hospital Dallas Central (Acute Rehab Unit)

  • Rehabilitation Hospital Unit
  • Dallas, TX
National Provider Identifier
1821741539
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
DALLAS LTACH, LLC
Doing business as
Kindred Hospital Dallas Central (Acute Rehab Unit)
Practice address
8050 Meadow Rd
Dallas, TX 75231-3406
Phone
(469) 232-6500
NPI assigned
Feb 2, 2022
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Johnetta M Traylor
Title
Administrator
Phone
(502) 596-6063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NU Primary

Addresses

Primary practice location

8050 Meadow Rd
Dallas, TX 75231-3406

Mailing address

8050 Meadow Rd
Dallas, TX 75231-3406
Phone (469) 232-6500

Other names 1

  • Kindred Hospital Dallas Central (Acute Rehab Unit) Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220725002977 TX Part A Provider - Hospital 0840342168 Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821741539. Details of each certification follow.

Hospital certification: CCN 45TB08

Legal name
DALLAS LTACH, LLC
Doing business as
KINDRED HOSPITAL DALLAS CENTRAL
Organization structure
LLCProprietary
Incorporated
Jun 10, 2009 in DE
Enrollment address
8050 Meadow Rd
FL 2
Dallas, TX 75231-3406
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Kindred Hospital Dallas CentralCCN 45TB08 · All quality measures
Ownership
For profit
Certified
Sep 1, 2022

National Provider Directory

National Provider Directory
Tax ID family
Dallas Ltach LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

8050 Meadow Rd
Fl 2
Dallas, TX 75231
Phone (502) 596-7300

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 Indirect Ownership Interest Feb 26, 1998 100%
Kentucky Hospital Intermediate LLC Organization, Louisville, KY LLC, Holding company, 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%
Jacquelyn Joy Davis Individual Contracted Managing EmployeeChain Home Office Administrator Dec 16, 2023
Scott Graeser Individual Corporate OfficerVice President, Treasurer Apr 12, 2022
Dana M Rock Individual Corporate OfficerAssistant Administrator Dec 9, 2024
Johnetta M Traylor Individual Corporate OfficerAdministrator Dec 9, 2024
W-2 Managing EmployeeAd; Mar 17, 2025
Kentucky Hospital Holdings LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Kindred Rehab Hospital Holdings LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jan 13, 2022 100%
Deanna Schiavone Individual Corporate OfficerPresident and Cfo Nov 17, 2023
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 Mar 17, 2025

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 1

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": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1821741539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 MEADOW RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313406",
            "telephone_number": "469-232-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 MEADOW RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313406",
            "telephone_number": "469-232-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS LTACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "JOHNETTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "502-596-6063"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital Dallas Central (Acute Rehab Unit)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital Dallas Central (Acute Rehab Unit)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.