NPIMap

Organization Active NPI

Kindred Hospitals East, LLC

Doing business as Kindred Hospital New Jersey - Morris County

  • Long Term Care Hospital
  • Dover, NJ
National Provider Identifier
1962580803
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
23144 Issued in NJ
Legal business name
KINDRED HOSPITALS EAST, LLC
Doing business as
Kindred Hospital New Jersey - Morris County
Practice address
400 W Blackwell St
Dover, NJ 07801-2525
Phone
(973) 537-3818
Fax
(973) 537-3895
NPI assigned
Nov 1, 2006
Last updated
Mar 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Authorized official

Name
Kathy Teague
Title
Vice President, Corporate Secretary
Phone
(629) 253-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 23144 NJ Primary

Addresses

Primary practice location

400 W Blackwell St
Dover, NJ 07801-2525

Mailing address

400 W Blackwell St
Dover, NJ 07801-2525
Phone (973) 537-3818

Other identifiers 2

IdentifierTypeStateIssuer
0054208MedicaidNJ
312020OtherNJBLUE CROSS

Other names 1

  • Kindred Hospital New Jersey - Morris County Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040318000618 NJ Part A Provider - Hospital 0648187674 1 other NPI on this enrollment
Practice locations: Dover, NJ; Rahway, NJ
O20070807000407 NJ Part A Provider - Hospital 0648187674 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Passaic, NJ

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1962580803. Details of each certification follow.

Hospital certification: CCN 312020

Legal name
KINDRED HOSPITALS EAST LLC
Doing business as
KINDRED HOSPITAL NEW JERSEY MORRIS COUNTY
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Mar 1, 2005
Last certification
May 16, 2024
Beds
45
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
400 W Blackwell St
Dover, NJ 78012525
Main/Primary Hospital Location
Hospital subgroups
Long-term

Hospital certification: CCN 31202000

Legal name
KINDRED HOSPITALS EAST LLC
Doing business as
KINDRED HOSPITAL - EAST NEW JERSEY
Organization structure
LLCProprietary
Enrollment address
350 Boulevard
FL 5 West
Passaic, NJ 70552840
Other Hospital Practice Location
Hospital subgroups
Long-term

Hospital certification: CCN 310125

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
KINDRED HOSPITAL NEW JERSEY MORRIS COUNTY
Certification status
Terminated Other: provider status change, Mar 1, 2005
Provider type (POS)
Hospital – Short-term
Participating since
Aug 10, 2004
Last certification
Jul 21, 2004
Beds
45
Ownership / control type
Private (for profit)
Facility address
400 West Blackwell Street
Dover, NJ 07801

Other NPIs with the same Medicare PAC ID 15

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

View all 15

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Kindred Hospital New Jersey - Morris CountyCCN 312020 · All quality measures
Ownership
For profit
Certified
Mar 1, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Beds
45

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1022920Kindred Hospital NJ Morris County400 West Blackwell Street, Dover, NJ 07801Certificate of waiverFeb 9, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: amanda.joseph@kindred.directmessaging.net

Ownership & related parties

All disclosed owners & managing parties 17

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 May 1, 1998 100%
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 LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 27, 1998 100%
Scott Graeser Individual Corporate OfficerVice President, Treasurer Aug 19, 2022
Michael L. Moody Individual Corporate OfficerPresident Jan 21, 2022
Andrew Donet Individual Operational/Managerial ControlCeo / Hospital Administrator Nov 16, 2020
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 OfficerChief Financial Officer 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 Dec 14, 2004
Corporate Officer Dec 14, 2004
Knight Health LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Richard L Algood Individual Corporate OfficerSr. Vice President, Reimbursement Jul 8, 2015
Other Jul 8, 2015
Kentucky Hospital Holdings JV LP Organization, Louisville, KY Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Jacquelyn Joy Davis Individual Contracted Managing EmployeeChain Home Office Administrator Dec 16, 2023
Alice Oconnor Individual Operational/Managerial ControlHospital Ceo (Administrator) Jan 23, 2006

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Kindred Hospital the Palm BeachesRiviera Beach, FL, CCN 102025 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998
Kindred Hospital MelbourneMelbourne, FL, CCN 102027 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998
Kindred Hospital MelbourneMelbourne, FL, CCN 10TA27 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998
Kindred Hospital Palm Beach LLCRiviera Beach, FL, CCN 10TA25 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 12, 1998

Owned or controlled facilities with NPI records 4

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.

  • Kindred Hospitals East, LLC

    dba Kindred Hospital - East New Jersey

    • Long Term Care Hospital
    • Passaic, NJ
    • NPI 1376621235

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • Andalusia Physician Practices LLC

    dba Andalusia Family Healthcare

    • Rural Health Clinic/Center
    • Andalusia, AL
    • NPI 1417663576

    Knight Health Holdings LLC

    CMS ownership
  • CHG Hospital Austin, LLC

    dba Cornerstone Specialty Hospitals Round Rock

    • Rehabilitation Hospital Unit
    • Round Rock, TX
    • NPI 1396326948

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • CHG Hospital Austin, LLC

    dba Cornerstone Specialty Hospitals Round Rock

    • Long Term Care Hospital
    • Round Rock, TX
    • NPI 1912395203

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • CHG Hospital Conroe, LLC

    dba Cornerstone Specialty Hospitals Conroe

    • Long Term Care Hospital
    • Conroe, TX
    • NPI 1073901476

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • CHG Hospital Little Rock, LLC

    dba Cornerstone Specialty Hospitals Little Rock

    • Long Term Care Hospital
    • Little Rock, AR
    • NPI 1346630589

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • CHG Hospital McAllen, LLC

    dba Solara Specialty Hospitals McAllen

    • Long Term Care Hospital
    • McAllen, TX
    • NPI 1760870166

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • Community Hospital of Andalusia LLC

    dba Andalusia Health

    • General Acute Care Hospital
    • Andalusia, AL
    • NPI 1821078494

    Kindred Healthcare Operating LLC, Knight Health Holdings LLC

    CMS ownership
  • Cornerstone Hospital of Huntington, LLC

    dba Cornerstone Specialty Hospitals Huntington

    • Long Term Care Hospital
    • Huntington, WV
    • NPI 1548214786

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • Dallas Ltach, LLC

    dba Kindred Hospital Dallas Central

    • Long Term Care Hospital
    • Dallas, TX
    • NPI 1356559991

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • Dallas Ltach, LLC

    dba Kindred Hospital Dallas Central (Acute Rehab Unit)

    • Rehabilitation Hospital Unit
    • Dallas, TX
    • NPI 1821741539

    Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC

    CMS ownership
  • Hartsville, LLC

    dba Carolina Pines Regional Medical Center

    • General Acute Care Hospital
    • Hartsville, SC
    • NPI 1174500458

    Kindred Healthcare Operating LLC, Knight Health Holdings LLC

    CMS ownership
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, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 11

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1962580803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078012525",
            "telephone_number": "973-537-3818",
            "fax_number": "973-537-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078012525",
            "telephone_number": "973-537-3818",
            "fax_number": "973-537-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HOSPITALS EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "VICE PRESIDENT, CORPORATE SECRETARY",
        "authorized_official_telephone_number": "629-253-5121"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NJ",
            "license": "23144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054208",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "312020",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital New Jersey - Morris County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital New Jersey - Morris County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, NJ

Sources for this page

Verify at the official NPI Registry.