KINDRED NURSING CENTERS WEST, LLC (NPI# 1841214442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841214442 |
| Entity Type | Organization |
| Organization Name | KINDRED NURSING CENTERS WEST, LLC |
| Other Organization Name | KINDRED TRANSITIONAL CARE AND REHABILITATION-CANYONWOOD |
| Practice Address |
2120 Benton Dr Redding CA 96003-2151 |
| Mailing Address |
680 S. 4th Street Louisville KY 40202-2407 |
| Practice Telephone | 5302436317 |
| Practice Fax Number | 5302435149 |
| Mailing Telephone | 5025967301 |
| Mailing Fax Number | 5025964134 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2017-09-26 |
| Authorized Official Name | MS. MARILYN A. WEAVER (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5025967300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 230000168 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC55356H | 05 |
| Other Name | Type Code |
|---|---|
| Kindred Transitional Care and Rehabilitation-Canyonwood | 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 |
| 1508943283 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 660 S Coronado Dr, Sierra Vista, AZ 85635-3386 | 2006-11-01 |
| 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 |
| Street Address |
2120 BENTON DR |
| City | REDDING |
| State | CA |
| Zip Code | 96003-2151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326601196 | California Emergency Physicians Medical Group A Professional Corp | Internal Medicine | 2120 Benton Dr, Redding, CA 96003-2151 | 2019-04-17 |
| 1942722202 | Honolua Bay Holdings LLC | Skilled Nursing Facility | 2120 Benton Dr, Redding, CA 96003-2151 | 2017-07-07 |
| 1376852582 | Rosemarie B Van Der Jagt | Speech-Language Pathologist | 2120 Benton Dr, Redding, CA 96003-2151 | 2010-10-05 |
| 1083878375 | Susan Kay Graves | Physical Therapy Assistant | 2120 Benton Dr, Redding, CA 96003-2151 | 2008-07-15 |
| 1629139514 | Colleen Joy Virgilio | Physical Therapist | 2120 Benton Dr, Canyonwood Nursing & Rehabilitation Center, Redding, CA 96002 | 2006-12-13 |
| 1699872598 | Gary Ward Crawford | Internal Medicine | 2120 Benton Dr, Redding, CA 96003-2151 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144882309 | Patricia Price | Social Worker | 2280 Benton Dr Building C, Suite A, Redding, CA 96003 | 2019-07-08 |
| 1487102745 | Jill Marie Shepherd Piercy Clark | Psychologist | 1465 Victor Ave Ste B, Redding, CA 96003 | 2016-09-15 |
| 1811344450 | Roger Milton Slagle | Social Worker | 999 Mission De Oro Dr Ste 103, Redding, CA 96003 | 2016-05-23 |
| 1265713812 | Tesha Marie Huston | Pharmacist | 975 Cypress Ave, Redding, CA 96003 | 2011-09-08 |
| 1861717605 | Western Physical Therapy Inc | Physical Therapist | 1495 Victor Ave, Suite D, Redding, CA 96003 | 2010-04-05 |
| 1013230036 | Douglas Norman Porter | Psychologist | 748 North Market St., Redding, CA 96003 | 2010-03-04 |
| 1821232877 | Express Medi-trans, Inc. | Non-emergency Medical Transport (VAN) | 2985 Innsbruck Dr, Redding, CA 96003 | 2009-04-21 |
| 1235393000 | Bridget Gabrielle Young | Physical Therapist | 2021 Benton Dr, Redding, CA 96003 | 2008-07-10 |
| 1447427406 | Terra Bella Communities | Nursing Facility/Intermediate Care Facility | 280 Riverpark Drive, Redding, CA 96003 | 2008-05-09 |
| 1588830657 | Terra Bella Communities | Intermediate Care Facility, Mentally Retarded | 237 Shadowrun Ct., Redding, CA 96003 | 2008-05-07 |
| Find all providers in zip 96003 | ||||
| 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 |
|---|---|---|---|---|
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1023450426 | Deborah A. Hagey A Servants Heart | Skilled Nursing Facility | 2525 Victor Ave, Suite B, Redding, CA 96002-1443 | 2013-07-25 |
| 1952465791 | Applewood Operating Company, LLC | Skilled Nursing Facility | 201 Hartnell Ave, Redding, CA 96002-1843 | 2006-12-19 |
| 1700805975 | Helios Healthcare, LLC | Skilled Nursing Facility | 2490 Court St, Redding, CA 96001-2540 | 2006-07-19 |
| 1194743088 | Crestwood Behavioral Health,inc. | Skilled Nursing Facility | 3062 Churn Creek Rd, Redding, CA 96002-2124 | 2006-07-18 |
| 1447206099 | Beverly Healthcare - California Inc | Skilled Nursing Facility | 1836 Gold St, Redding, CA 96001-1817 | 2006-05-25 |
| 1487638144 | Redding Life Care, LLC | Skilled Nursing Facility | 100 Redding Rd, Redding, CT 06896-3220 | 2005-12-05 |
| 1598750358 | Marquis Companies I Inc | Skilled Nursing Facility | 3550 Churn Creek Rd, Redding, CA 96002-2718 | 2005-09-16 |
| 1942722202 | Honolua Bay Holdings LLC | Skilled Nursing Facility | 2120 Benton Dr, Redding, CA 96003-2151 | 2017-07-07 |
| 1912338476 | River Valley Healthcare & Wellness Centre, Lp | Skilled Nursing Facility | 2490 Court St, Redding, CA 96001-2540 | 2013-12-10 |
| Find all providers in REDDING | ||||
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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.