KND DEVELOPMENT 59 LLC (NPI# 1740577451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740577451 |
| Entity Type | Organization |
| Organization Name | KND DEVELOPMENT 59 LLC |
| Other Organization Name | 4839 KH ROME |
| Practice Address |
304 Turner Mccall Blvd Rome GA 30165-5621 |
| Mailing Address |
680 S 4th St Louisville KY 40202-2407 |
| Practice Telephone | 7065094100 |
| Practice Fax Number | 5025964150 |
| Mailing Telephone | 5029673000 |
| Mailing Fax Number | 5025964150 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2016-09-22 |
| Authorized Official Name | GARETT JACKSON (SRVP & CFO) |
| Authorized Official Telephone | 5025963283 |
| Is Organization Subpart | Y |
| Parent Organization Name | KINDRED HEALTHCARE, INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE | 202G702117 | 01 |
| Other Name | Type Code |
|---|---|
| 4839 KH ROME | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740519081 | Knd Development 59 LLC | Hospitalist | 1901 N College Ave, Santa Ana, CA 92706-2334 | 2009-12-16 |
| 1821327321 | Knd Development 59 LLC | Hospitalist | 1000 N Cooper, Arlington, TX 76011-5540 | 2009-12-11 |
| 1619206133 | Knd Development 59 LLC | Hospitalist | 2401 Southside Blvd, Greensboro, NC 27406-3311 | 2009-12-11 |
| 1407185903 | Knd Development 59 LLC | Hospitalist | 4801 E Sam Houston Pkwy, Pasadena, TX 77505-3955 | 2009-12-11 |
| 1992034680 | Knd Development 59 LLC | Hospitalist | 707 S. Edwin C. Moses Boulevard, Dayton, OH 45417-3462 | 2009-12-09 |
| 1467731216 | Knd Development 59 LLC | Hospitalist | 655 E Medical Center Blvd, Webster, TX 77598-4328 | 2011-08-11 |
| 1114215571 | Knd Development 59 LLC | Hospitalist | 350 Blossom St, Webster, TX 77598-4206 | 2011-07-19 |
| 1952699340 | Knd Development 59 LLC | Hospitalist | 1201 W 38th St, 8th Floor North, Austin, TX 78705-1006 | 2011-07-19 |
| 1588952956 | Knd Development 59 LLC | Hospitalist | 2601 W Randol Mill Rd Ste 101, Arlington, TX 76012-4216 | 2011-07-19 |
| 1518255991 | Knd Development 59 LLC | Hospitalist | 14709 Olive Blvd, Chesterfield, MO 63017-2221 | 2011-07-19 |
| Street Address |
304 TURNER MCCALL BLVD |
| City | ROME |
| State | GA |
| Zip Code | 30165-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285747493 | Karen Jenell Craig | Nurse Practitioner | 304 Turner Mccall Blvd, The Breast Center, Rome, GA 30165-0233 | 2006-08-15 |
| 1356861272 | Melissa G Ward | Registered Nurse | 304 Turner Mccall Blvd, Rome, GA 30165 | 2017-06-21 |
| 1982996955 | Sudie Jane Gordy | Dietitian, Registered | 304 Turner Mccall Blvd, Rome, GA 30165 | 2011-05-10 |
| 1285740357 | Molly R Vicchrilli | Emergency Medicine | 304 Turner Mccall Blvd, Rome, GA 30165 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043223662 | Gary Killen | Hospitalist | 27 Oakfield Dr Se, Rome, GA 30161-5932 | 2006-08-14 |
| 1194152751 | Empire State Inpatient Medical, Pllc | Hospitalist | 1500 N James St, Rome, NY 13440-2844 | 2013-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033770771 | Your Hospitalist Team LLC | Hospitalist | 2215 Autumn Ridge Ln, Cumming, GA 30041-1358 | 2019-06-24 |
| 1780194183 | Mobin Shah Inc | Hospitalist | 352 Langshire Dr, Mcdonough, GA 30253-8055 | 2017-10-11 |
| 1972036721 | Getnet Alemu Tioum | Hospitalist | 1267 Pounds Ln, Clarkston, GA 30021-2830 | 2017-04-08 |
| 1720531692 | Zahraa Rabeeah | Hospitalist | 390 17th St Nw Unit 5031, Atlanta, GA 30363-2015 | 2016-07-27 |
| 1245614973 | Donovan Philbrick | Hospitalist | 743 Spring Street, Office of Inpatient Medicine, Gainesville, GA 30501 | 2015-07-13 |
| 1932529732 | Munir Chaudhuri | Hospitalist | 1364 Clifton Road Ne Box M7, Atlanta, GA 30322-1029 | 2014-04-18 |
| 1982979373 | Rianot Amzat | Hospitalist | 5665 Peachtree Dunwoody # Ga, Suite 500, Atlanta, GA 30342-1701 | 2012-03-19 |
| 1780970921 | Christopher Thomas Middendorf | Hospitalist | 1400 River Place, Braselton, GA 30517 | 2011-06-27 |
| 1043528268 | Medcare Physicians of Central Georgia, LLC | Hospitalist | 1040 Founders Row, Ste A, Greensboro, GA 30642-5261 | 2010-09-22 |
| 1619293354 | Aaron D Gluth | Hospitalist | 1364 Clifton Rd Ne Box M-7, Atlanta, GA 30322-1059 | 2010-04-19 |
| 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.