Kindred Hospitals Limited Partnership

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

000657 Issued in TX

Legal business name

KINDRED HOSPITALS LIMITED PARTNERSHIP

Doing business as

Kindred Hospital - Mansfield

Practice address

1802 Highway 157 N
Mansfield, TX 76063-3923

Phone

(817) 473-6101

Fax

(817) 473-8541

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Terrance K. Dillon

Title

Assistant Secretary

Phone

(502) 596-7220

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kindred Hospital - Mansfield Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922177997. Details of each certification follow.

• CCN 452019 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 452019

Legal name

KINDRED HOSPITAL FORT WORTH- MANSFIELD

Certification status

Terminated Voluntary: merger or closure, Jun 15, 2021

Provider type (POS)

Hospital – Long-term

Participating since

Jul 18, 1990

Last certification

Jun 14, 2021

Beds

55

Ownership / control type

Private (for profit)

Facility address

1802 Highway 157 North
Mansfield, TX 76063

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1922177997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 HIGHWAY 157 N",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633923",
            "telephone_number": "817-473-6101",
            "fax_number": "817-473-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 HIGHWAY 157 N",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633923",
            "telephone_number": "817-473-6101",
            "fax_number": "817-473-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HOSPITALS LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "TX",
            "license": "000657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH0772",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021004901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital - Mansfield",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital - Mansfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kidsville Pediatrics PLLC
• Kim Pham Co (Select Vision Care)
• Mai Thanh Kim, PHARMD
• Young Kyu Kim, DMD
• Timothy Kimuyu, APRN
• Robin Patrice Kindred, M.D.
• Amari King
• Marica King, LPC-S, NCC, BC-TMH
• Sherri Kirschbaum, FNP
• Denean Renee Kline, NCC, LPC, LCDC, SAP

• Long Term Care Hospital in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Long Term Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.