# KINDRED HOSPITALS EAST, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kindred Hospital - North Florida
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134204720
- **Authorized official:** JOHNETTA TRAYLOR (AO)
- **Authorized official phone:** (502) 596-6063

## Contact information

- **Practice address:** 801 OAK ST, GREEN COVE SPRINGS, FL 32043-4317
- **Practice address phone:** (904) 284-9230
- **Practice address fax:** (904) 284-6612
- **Mailing address:** 680 S 4TH ST, LOUISVILLE, KY 40202-2407
- **Mailing address phone:** (502) 596-6063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | 4257 | FL | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 06/25/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010267900 | — | FL |
| 01 | — | Y01 | BLUE CROSS | FL |