# MEDICAL HILL REHAB CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kindred Nursing and Rehabilitation-Medical Hill
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083634893
- **Authorized official:** MS. MARILYN A. WEAVER (ASSISTANT SECRETARY)
- **Authorized official phone:** (502) 596-7563

## Contact information

- **Practice address:** 475 29TH ST, OAKLAND, CA 94609-3510
- **Practice address phone:** (510) 832-3222
- **Practice address fax:** (510) 832-5617
- **Mailing address:** 680 S. 4TH STREET, LOUISVILLE, KY 40202-2407
- **Mailing address phone:** (502) 596-7301
- **Mailing address fax:** (502) 596-4134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 020000110 | CA | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 09/28/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55254J | — | CA |