KND DEVELOPMENT 59 LLC (NPI# 1285922831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285922831 |
| Entity Type | Organization |
| Organization Name | KND DEVELOPMENT 59 LLC |
| Other Organization Name | 4838 KH PEORIA |
| Practice Address |
500 W Romeo B Garrett Ave Peoria IL 61605-2301 |
| Mailing Address |
680 S 4th St Louisville KY 40202-2407 |
| Practice Telephone | 3096801500 |
| Practice Fax Number | 5025964150 |
| Mailing Telephone | 5025967358 |
| Mailing Fax Number | 8335019731 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | LINDA L FISHER (DVP REVENUE CYCLE) |
| Authorized Official Telephone | 5025967358 |
| Is Organization Subpart | Y |
| Parent Organization Name | KINDRED HEALTHCARE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE | IL3859 | 01 |
| Other Name | Type Code |
|---|---|
| 4838 KH PEORIA | 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 |
500 W ROMEO B GARRETT AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61605-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639217748 | Ruth D. Argenta | Dietitian, Registered | 500 W Romeo B Garrett Ave, Peoria, IL 61605-2301 | 2007-02-01 |
| 1104261668 | Vibra Hospital of Peoria LLC | Long Term Care Hospital | 500 W Romeo B Garrett Ave, Peoria, IL 61605-2301 | 2013-05-09 |
| 1134489743 | Kindred Healthcare Operating, Inc | Hospitalist | 500 W Romeo B Garrett Ave, Peoria, IL 61605-2301 | 2012-05-17 |
| 1770721508 | Greater Peoria Specialty Hospital, LLC | Long Term Care Hospital | 500 W Romeo B Garrett Ave, Peoria, IL 61605-2301 | 2009-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386131878 | Nicholas Anthony Helling | Physical Therapist | 518 W Romero B Garret Ave, Poeria, IL 61605 | 2018-04-19 |
| 1891241022 | Peoria Slf Lp | Assisted Living Facility | 518 West Romeo B. Garrett Avenue, Peoria, IL 61605 | 2016-08-28 |
| 1932479664 | Michelle L Whitelow | Nurse Practitioner | 711 W John Gwynn Jr. Avenue, Peoria, IL 61605 | 2012-01-11 |
| 1982852877 | Jason M Anane-sefah | Orthopaedic Surgery | 303 North Kumpf Boulevard, Peoria, IL 61605 | 2008-09-04 |
| 1902098908 | Calvary Elderly Home Help Program | Home Health | 1709 W Lincoln Ave, Peoria, IL 61605 | 2007-08-14 |
| 1023104437 | Thomas Anderson | Optometrist | 710 W Third Avenue, Peoria, IL 61605 | 2006-10-04 |
| 1841382298 | Devashish Agarwal | Family Medicine | 1701 W. Garden Street, Peoria, IL 61605 | 2006-09-29 |
| 1497763197 | Larry T Rolle | Pharmacist | 411 Martin Luther King Dr., Peoria, IL 61605 | 2006-08-04 |
| 1568404762 | Joseph P Kelly Iv | Physical Therapist | 303 N. Kumpf Blvd, Peoria, IL 61605 | 2006-06-12 |
| 1003861634 | Patrick William Elwood | Neurological Surgery | 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 | 2006-05-23 |
| Find all providers in zip 61605 | ||||
| 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 |
|---|---|---|---|---|
| 1679051171 | Supai LLC | Hospitalist | 13350 N 94th Dr Ste A101, Peoria, AZ 85381-4826 | 2018-08-06 |
| 1083270938 | Christine Shaw | Hospitalist | 5409 N Knoxville Ave, Peoria, IL 61614-5069 | 2019-05-16 |
| 1578083887 | Andrew Noyce | Hospitalist | 815 Main St Ste A, Peoria, IL 61602-1080 | 2017-06-27 |
| 1376906867 | Illinois Hospital Medicine Associates PC | Hospitalist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2016-04-01 |
| 1316336845 | United Physicians Group LLC | Hospitalist | 13462 W Jesse Red Dr, Peoria, AZ 85383-7904 | 2015-01-21 |
| 1447681044 | Venkat Rao Kakollu | Hospitalist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2013-12-06 |
| 1427309293 | Mmc Doc Md LLC | Hospitalist | 13216 N Plaza Del Rio Blvd, Peoria, AZ 85381-4907 | 2012-09-19 |
| 1134489743 | Kindred Healthcare Operating, Inc | Hospitalist | 500 W Romeo B Garrett Ave, Peoria, IL 61605-2301 | 2012-05-17 |
| 1750557815 | Parth Hemantkumar Mehta | Hospitalist | 221 Ne Glen Oak Ave, Peoria, IL 61636-5640 | 2008-05-07 |
| 1629035829 | Tayyaba Irshad | Hospitalist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2006-05-01 |
| Find all providers in PEORIA | ||||
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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.