Provider Demographics
NPI: | 1942592357 |
---|---|
Name: | KINDRED HEALTHCARE OPERATING, LLC |
Entity type: | Organization |
Organization Name: | KINDRED HEALTHCARE OPERATING, LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | DVP REVENUE CYLCE |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LINDA |
Authorized Official - Middle Name: | L |
Authorized Official - Last Name: | FISHER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 502-596-7358 |
Mailing Address - Street 1: | 680 S 4TH ST |
Mailing Address - Street 2: | |
Mailing Address - City: | LOUISVILLE |
Mailing Address - State: | KY |
Mailing Address - Zip Code: | 40202-2407 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 502-596-7358 |
Mailing Address - Fax: | 833-501-9731 |
Practice Address - Street 1: | 2544 W MONTROSE AVE |
Practice Address - Street 2: | |
Practice Address - City: | CHICAGO |
Practice Address - State: | IL |
Practice Address - Zip Code: | 60618-1537 |
Practice Address - Country: | US |
Practice Address - Phone: | 773-267-2622 |
Practice Address - Fax: | 502-596-4150 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | KINDRED HEALTHCARE, LLC |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2011-05-04 |
Last Update Date: | 2021-02-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | Group - Multi-Specialty |