Kindred Rehabilitation Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

34444 Issued in CA

Legal business name

KINDRED REHABILITATION SERVICES

Practice address

1550 Silveira Pkwy
San Rafael, CA 94903-4879

Phone

(415) 446-3817

NPI assigned

Jun 23, 2008

Organization subpart

No

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

Authorized official

Name

Alice Long

Title

Rehab Manager

Phone

(415) 446-3817

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1881855864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 SILVEIRA PKWY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034879",
            "telephone_number": "415-446-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 SILVEIRA PKWY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034879",
            "telephone_number": "415-446-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "REHAB MANAGER",
        "authorized_official_telephone_number": "415-446-3817"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "34444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwang Hyun Kim, D.D.S.
• Lori Crystal Kim, MD
• Mi Kyong Kim
• Sunghwan Kim
• Jeremy Kimzey
• Jaleila Babette King, RN
• Marjorie Wise King, IBCLC
• Morrakot King
• Debra Jean Kinninger, P.T.
• Maurice D. Kinsolving, MD

• Skilled Nursing Facility in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.