| Kindred Hospitals East, Llc | |
|
707 S. Edwin C. Moses Blvd Dayton OH 45417-3462 | |
| (937) 331-9265 | |
| (937) 331-9275 |
| Full Name | Kindred Hospitals East, Llc |
|---|---|
| Speciality | Long Term Care Hospital |
| Location | 707 S. Edwin C. Moses Blvd, Dayton, Ohio |
| Authorized Official Name and Position | Johnetta Traylor (ADMINISTRATOR) |
| Authorized Official Contact | 5025966063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kindred Hospitals East, Llc 707 S. Edwin C. Moses Blvd Dayton OH 45417-3462 Ph: (937) 331-9265 | Kindred Hospitals East, Llc 707 S. Edwin C. Moses Blvd Dayton OH 45417-3462 Ph: (937) 331-9265 |
| NPI Number | 1447320676 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 06/11/2025 |
| Certification Date | 06/11/2025 |
| Medicare PECOS PAC ID | 0648187674 |
|---|---|
| Medicare Enrollment ID | O20040428000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447320676 | NPI | - | NPPES |
| 000000362939 | Other | OH | BLUE CROSS |
| 2563695 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
| 282E00000X | Long Term Care Hospital | 1458 (Ohio) | Primary |
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