Organization
KINDRED HOSPITALS EAST, LLC
Active
Other names
dba Kindred Hospital - Greensboro
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (DIRECTOR)
(629) 253-5121
Entity
Organization
Contact information
Practice address
2401 S SIDE BLVD, GREENSBORO, NC 27406-3311
(336) 271-2800
(336) 271-2734
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 212-8481
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00300
BLUE CROSS
NC
01
—
3402012
HEALTH NET
NC
05
—
3402012
—
NC
01
—
855085555
GREAT WEST
NC
Enumeration date
11/07/2006
Last updated
05/29/2025
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