Organization Active NPI

Kindred Hospitals West, LLC

  • Long Term Care Hospital
  • Denver, CO
National Provider Identifier
1861577439
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
0327 Issued in CO
Legal business name
KINDRED HOSPITALS WEST, LLC
Practice address
1920 High St
Denver, CO 80218-1213
Phone
(303) 320-5871
Fax
(303) 377-6212
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Johnetta Traylor
Title
Ao
Phone
(502) 596-6063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 0327 CO Primary

Addresses

Primary practice location

1920 High St
Denver, CO 80218-1213

Mailing address

680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-6063

Other identifiers 2

IdentifierTypeStateIssuer
05093000MedicaidCO
37819KIOtherCOBLUE CROSS

Other names 1

  • Kindred Hospital - Denver Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030703000014 CO Part A Provider - Hospital 6901715994 Practice locations: Denver, CO

Hospital certification: CCN 062009

Legal name
KINDRED HOSPITALS WEST LLC
Doing business as
KINDRED HOSPITAL - DENVER
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Feb 1, 1991
Last certification
Apr 21, 2023
Beds
81
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
1920 High St
Denver, CO 80218-1213
Main/Primary Hospital Location
Hospital subgroups
Long-term

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: Long-term care hospital

Medicare Care Compare
Listed as
Kindred Hospital-DenverCCN 062009
Ownership
For profit
Certified
Feb 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Beds
81

National Provider Directory

National Provider Directory
Tax ID family
Kindred Hospitals West 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.

Ownership & related parties

All disclosed owners & managing parties 14

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 For-profit 5% Or Greater Indirect Ownership Interest Mar 17, 2025 100%
Jacquelyn Joy Davis Individual Contracted Managing EmployeeChain Home Office Administrator Dec 16, 2023
Scott Graeser Individual Corporate OfficerVice President, Treasurer Aug 19, 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 OfficerPresident and Cfo 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 Jan 21, 2022
Knight Health LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Kevin Zachary Individual Contracted Managing EmployeeMarket Ceo Jul 11, 2023
Kentucky Hospital Holdings JV LP Organization, Louisville, KY Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kindred Hospital - San AntonioSan Antonio, TX, CCN 452016 Hospital General Partnership Interest (1%)
Limited Partnership Interest (98%)
Mar 12, 1998
Mar 12, 1998
Kindred Hospital LouisvilleLouisville, KY, CCN 182001 Hospital General Partnership Interest (1%)
Limited Partnership Interest (98%)
Mar 12, 1998
Mar 12, 1998
Kindred Hospital Houston Medical CenterHouston, TX, CCN 452023 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 17, 2025
Kindred Hospital - ChattanoogaChattanooga, TN, CCN 442007 Hospital General Partnership Interest (1%)
Limited Partnership Interest (98%)
Jun 23, 2010
Mar 12, 1998
Kindred Hospital - IndianapolisIndianapolis, IN, CCN 152007 Hospital General Partnership Interest (1%)
Limited Partnership Interest (98%)
Feb 26, 1998
Feb 26, 1998
Kindred Hospital Houston Medical CenterHouston, TX, CCN 45TA23 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 17, 2025
Kindred Hospital - LouisvilleLouisville, KY, CCN 185361 Skilled nursing facility General Partnership Interest (1%)
Limited Partnership Interest (98%)
Mar 12, 1998
Mar 12, 1998

Owned or controlled facilities with NPI records 8

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1861577439",
    "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": "502-596-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 HIGH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181213",
            "telephone_number": "303-320-5871",
            "fax_number": "303-377-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HOSPITALS WEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "JOHNETTA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "502-596-6063"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CO",
            "license": "0327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05093000",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "37819KI",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital - Denver",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital - Denver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.