KINDRED DEVELOPMENT 17, LLC (NPI# 1497983936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497983936 |
| Entity Type | Organization |
| Organization Name | KINDRED DEVELOPMENT 17, LLC |
| Other Organization Name | KINDRED HOSPITAL MELBOURNE |
| Practice Address |
765 W Nasa Blvd Melbourne FL 32901-1815 |
| Practice Telephone | 3217335725 |
| Practice Fax Number | 3217335725 |
| Mailing Telephone | 3217335725 |
| Mailing Fax Number | 3217335799 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | MR. TERRANCE K. DILLON (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5025967220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 4501 | FL | Hospitals |
| Other Name | Type Code |
|---|---|
| Kindred Hospital Melbourne | Doing Business As Name - Organization |
| Street Address |
765 W NASA BLVD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487851812 | Temoor Sajjad Anwar | Radiology | 765 W Nasa Blvd, Melbourne, FL 32901-1815 | 2007-06-29 |
| 1699395434 | I & I Labs, LLC | Radiology | 765 W Nasa Blvd, Melbourne, FL 32901-1815 | 2020-04-22 |
| 1366772337 | Knd Development 59 LLC | Hospitalist | 765 W Nasa Blvd, Melbourne, FL 32901-1815 | 2010-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578192860 | Sugarfootz & Wellness LLC | Long Term Care Hospital | 4924 5th St S, St Petersburg, FL 33705-4721 | 2020-04-07 |
| 1700253218 | Peter James Lapolla | Long Term Care Hospital | 710 Snell Isle Blvd Ne, Saint Petersburg, FL 33704-3742 | 2015-09-01 |
| 1336569821 | Promise Hospital of Dade, Inc. | Long Term Care Hospital | 14001 Nw 82nd Avenue, Miami Lakes, FL 33016 | 2014-04-23 |
| 1710306402 | Usha Agarwal Md Pa | Long Term Care Hospital | 3543 Little Road, Ste A, Dr. Usha Agarwal Md Pa, Trinity, FL 34655-1945 | 2014-04-10 |
| 1447690011 | Clinical Corporation of America | Long Term Care Hospital | 10845 Nw 7th St, Apt 22, Miami, FL 33172-3778 | 2013-06-27 |
| 1578843702 | Robert M. Lancaster, Arnp-bc P.a. | Long Term Care Hospital | 9055 Starpass Dr, Jacksonville, FL 32256-5472 | 2011-08-19 |
| 1053601211 | Promise Hospital of Florida At The Villages, Inc. | Long Term Care Hospital | 5050 County Road 472, Oxford, FL 34484-3750 | 2011-04-08 |
| 1649579681 | Yoel A Hernandez Md Pa | Long Term Care Hospital | 1951 Sw 172nd Ave Ste 200, Miramar, FL 33029-5613 | 2011-03-16 |
| 1194960526 | Mathilde Louis | Long Term Care Hospital | 8410 Ne 2ct, Miami, FL 33138-3928 | 2008-12-15 |
| 1467697953 | University Community Hospital, Inc | Long Term Care Hospital | 9441 Health Center Dr, Land O Lakes, FL 34637-5837 | 2008-12-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.