KINDRED NURSING CENTERS WEST, LLC (NPI# 1508943283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508943283 |
| Entity Type | Organization |
| Organization Name | KINDRED NURSING CENTERS WEST, LLC |
| Other Organization Name | KINDRED NURSING AND REHABILITATION-HACIENDA |
| Practice Address |
660 S Coronado Dr Sierra Vista AZ 85635-3386 |
| Mailing Address |
680 S 4th St # Kh-2 Louisville KY 40202-2407 |
| Practice Telephone | 5204594900 |
| Practice Fax Number | 5204584082 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-11-29 |
| Authorized Official Name | MS. MARILYN A. WEAVER (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5025967563 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NCI-338 | AZ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 633489 | 05 | |
| AZ | BLUE CROSS/BLUE SHIELD AZ | AZ0207100 | 01 |
| AZ | MERCY CARE | 633489 | 01 |
| AZ | UNITED HEALTHCARE | 266354 | 01 |
| AZ | APIPA | 633489 | 01 |
| AZ | COCHISE HEALTH | 633489 | 01 |
| Other Name | Type Code |
|---|---|
| Kindred Nursing and Rehabilitation-Hacienda | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548657083 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1880 E Van Buren St, Phoenix, AZ 85006-3742 | 2015-04-22 |
| 1053480343 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 2121 Pine St, San Francisco, CA 94115-2829 | 2006-11-08 |
| 1043303571 | Kindred Nursing Centers West, LLC | Respite Care | 10201 E 3rd Ave, Aurora, CO 80010-4301 | 2006-10-02 |
| 1033127113 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 200 N Oregon St, Dillon, MT 59725-3624 | 2006-08-04 |
| 1871501098 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1500 32nd St S, Great Falls, MT 59405-5300 | 2006-08-03 |
| 1750396248 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1115 Capitola Rd, Santa Cruz, CA 95062-2844 | 2006-07-31 |
| 1386659738 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 601 W Cameron Ave, Kellogg, ID 83837-2004 | 2006-07-31 |
| 1215942065 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1575 7th Ave, San Francisco, CA 94122-3704 | 2006-07-30 |
| 1891700464 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1517 E Knickerbocker Dr, Stockton, CA 95210-3119 | 2006-07-30 |
| 1902810492 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 2814 S Indiana Ave, Caldwell, ID 83605-5925 | 2006-07-28 |
| Street Address |
660 S CORONADO DR |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-3386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501257 | Meredith Kocot | Student in an Organized Health Care Education/Training Program | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2020-09-02 |
| 1649897810 | Jessica Griffin | Student in an Organized Health Care Education/Training Program | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2020-07-02 |
| 1639791981 | Alexandrea Beatrice Cochran | Student in an Organized Health Care Education/Training Program | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2020-05-09 |
| 1114549649 | Kathryn Meagan Seils | Student in an Organized Health Care Education/Training Program | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2020-05-06 |
| 1316597339 | Anne Gerlicher | Student in an Organized Health Care Education/Training Program | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2019-09-12 |
| 1346893211 | Christina Infante | Physical Therapy Assistant | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2019-07-19 |
| 1720506926 | Haven of Sierra Vista LLC | Skilled Nursing Facility | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2017-09-07 |
| 1902171911 | Kindred Nursing Rehabilitation Hacienda | Skilled Nursing Facility | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2012-03-09 |
| 1427322403 | Kindred- Hacienda | Skilled Nursing Facility | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2012-03-08 |
| 1003184896 | Jamie Lynn Anderson | Occupational Therapy Assistant | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2011-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124066188 | Sierra Vista Medical Investors, Lp | Skilled Nursing Facility | 2305 E Wilcox Dr, Sierra Vista, AZ 85635-2738 | 2006-06-03 |
| 1720506926 | Haven of Sierra Vista LLC | Skilled Nursing Facility | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2017-09-07 |
| 1902171911 | Kindred Nursing Rehabilitation Hacienda | Skilled Nursing Facility | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2012-03-09 |
| 1427322403 | Kindred- Hacienda | Skilled Nursing Facility | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2012-03-08 |
| 1639454036 | Hacienda | Skilled Nursing Facility | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2011-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630175 | P. Deanda Medical Pllc | Skilled Nursing Facility | 1950 W Paseo Monserrat, Tucson, AZ 85704-1329 | 2020-05-12 |
| 1477187995 | Welbrook Yuma Opco LLC | Skilled Nursing Facility | 2271 S Ridgeview Dr, Yuma, AZ 85364-8872 | 2020-02-24 |
| 1487215067 | Ludden Healthcare, Inc. | Skilled Nursing Facility | 14660 W Parkwood Dr, Surprise, AZ 85374-4590 | 2019-06-25 |
| 1396208955 | Manuella D Khoshaba | Skilled Nursing Facility | 13821 W Crocus Dr, Surprise, AZ 85379-8340 | 2019-04-10 |
| 1518489244 | Moc Surprise, LLC | Skilled Nursing Facility | 14660 West Parkwood Drive, Surprise, AZ 85374 | 2017-07-14 |
| 1780106765 | Moc Tucson, LLC | Skilled Nursing Facility | 5151 East Pima Street, Tucson, AZ 85712 | 2017-07-12 |
| 1053833038 | Moc Chandler, LLC | Skilled Nursing Facility | 3033 South Arizona Ave., Chandler, AZ 85248 | 2017-07-12 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1609307354 | Tucson Hacienda River, LLC | Skilled Nursing Facility | 2720 E River Road, Tucson, AZ 85718 | 2017-03-24 |
| 1891234126 | Center At Tucson, LLC | Skilled Nursing Facility | 5020 East Glen Street, Tucson, AZ 85712 | 2017-02-20 |
| Find all providers with the same taxonomy | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
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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.