Organization
KINDRED HOSPITALS EAST, LLC
Active
Other names
Kindred Hospital at Heritage Valley
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (AO)
(502) 596-6063
Entity
Organization
Contact information
Practice address
1000 DUTCH RIDGE RD, FLOOR 2, BEAVER, PA 15009-9727
(724) 773-8480
(724) 773-8210
Mailing address
680 S 4TH ST, K-LIVE 5 REIMBURSEMENT, LOUISVILLE, KY 40202-2407
(502) 596-4134
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
13570101
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2091
BLUE CROSS
PA
05
—
2594867
—
PA
Enumeration date
11/06/2006
Last updated
06/25/2025
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