KINDRED (NPI# 1760816086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760816086 |
| Entity Type | Organization |
| Organization Name | KINDRED |
| Practice Address |
677 E State St Burlington WI 53105-1639 |
| Practice Telephone | 2627639531 |
| Practice Fax Number | 2627637579 |
| Mailing Telephone | 2627639531 |
| Mailing Fax Number | 2627637579 |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |
| Authorized Official Name | MRS. JENNIFER DUMMER (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 2627639531 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1781-27 | WI | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740543545 | Kindred | Skilled Nursing Facility | 5677 N Argyle Ave, Glendale, WI 53209-4359 | 2012-06-18 |
| 1457779126 | Kindred | Skilled Nursing Facility | 14601 John Humphrey Dr, Orland Park, IL 60462-2641 | 2014-03-31 |
| 1558796193 | Kindred | Rehabilitation Unit | 2131 W 3rd St, Los Angeles, CA 90057-1901 | 2013-09-12 |
| 1467703041 | Kindred | Skilled Nursing Facility | 3000 Risen Son Blvd, Council Bluffs, IA 51503-1911 | 2012-09-24 |
| 1073760575 | Kindred | Skilled Nursing Facility | 70 Normandy Dr, Painesville, OH 44077-1616 | 2008-08-26 |
| 1447406830 | Kindred | Skilled Nursing Facility | 550 High St, Bowling Green, KY 42101-1746 | 2008-08-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Kindred | 160 Shanta Lane, Loveland, CO 80537 |
| Oregon Corporations, Companies and Business Names | KINDRED & SON, INC. | 25599 Sw 95th Ave Ste K, Wilsonville, OR 97070 |
| Alabama Business Registrations | kindred + kind inc | 45 Nolen Street, Birmingham, AL 35242 |
| Vermont Business Registrations | KINDRED 151, LLC | 181 South Street, Springfield, VT 05156 |
| Oregon Corporations, Companies and Business Names | KINDRED ACRES LLC | 22550 Finn Rd, Sheridan, OR 97378 |
| Oregon Corporations, Companies and Business Names | KINDRED ADULT FOSTER HOME INC. | 13996 Se Sieben Parkway, Clackamas, OR 97015 |
| Washington State Corporations | KINDRED ANIMAL CONNECTIONS, LLC | 14601 106th Avenue Ct E, Puyallup, WA 98374-4906 |
| System for Award Management (SAM) Entities | KINDRED ARTS, INC | 244 Madison Ave Ste 172, New York, NY 10016-2817 |
| Colorado Business Entities | Kindred Assisted Living & Memory Care LLC | 22352 E Maplewood Ln, Aurora, CO 80015 |
| Colorado Business Entities | Kindred Associates, LLC | 3405 El Caminito Ct., Loveland, CO 80537 |
| Street Address |
677 E STATE ST |
| City | BURLINGTON |
| State | WI |
| Zip Code | 53105-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538245170 | Kam Kwan Soo | Psychiatry & Neurology | 677 E State St, Burlington, WI 53105 | 2006-10-27 |
| 1487265716 | Amanda Waldera | Physical Therapist | 677 E State St, Burlington, WI 53105-1639 | 2020-08-11 |
| 1609400845 | Carolyn Haney | Occupational Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2020-02-26 |
| 1245864586 | Jazzlyn Garcia | Physical Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2020-02-25 |
| 1144854464 | Casey Roberts | Speech-Language Pathologist | 677 E State St, Burlington, WI 53105-1639 | 2020-02-25 |
| 1700430295 | Dana Siebenaller Wiemer | Occupational Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2019-08-01 |
| 1295390888 | Annette Brauckhoff | Occupational Therapist | 677 E State St, Burlington, WI 53105-1639 | 2019-05-08 |
| 1568027977 | Scott Street | Physical Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2019-05-01 |
| 1629558457 | Rebecca Lynn Baade | Speech-Language Pathologist | 677 E State St, Burlington, WI 53105-1639 | 2018-08-21 |
| 1376023176 | Thera Ann Rossmiller | Physical Therapy Assistant | 677 E State St, Burlington, WI 53105-1639 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
| 1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
| 1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
| 1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
| 1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
| 1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
| 1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
| 1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
| 1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
| Find all providers in zip 53105 | ||||
| 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 |
|---|---|---|---|---|
| 1710422308 | Care Is Us Home Health Care | Skilled Nursing Facility | 3010 Winston Dr Apt 71, Burlington, NC 27215-9194 | 2017-01-05 |
| 1750418802 | Alamance Extended Care, Inc. | Skilled Nursing Facility | 1860 Brookwood Ave, Burlington, NC 27215-3200 | 2007-02-27 |
| 1235264219 | White Oak Manor Burlington Inc | Skilled Nursing Facility | 323 Baldwin Rd, Burlington, NC 27217-2715 | 2007-02-22 |
| 1407934334 | Starr Farm Partnership | Skilled Nursing Facility | 98 Starr Farm Rd, Burlington, VT 05401-1323 | 2006-11-01 |
| 1396830709 | Burlington Nursing Home LLC | Skilled Nursing Facility | 465 5th Street, Burlington, CO 80807-1932 | 2006-10-03 |
| 1679665269 | Eagle Healthcare, Inc | Skilled Nursing Facility | 1036 E Victoria Ave, Burlington, WA 98233-1623 | 2006-09-29 |
| 1659481943 | Khoi New Limited Partnership | Skilled Nursing Facility | 43 Starr Farm Rd, Burlington, VT 05401 | 2006-08-30 |
| 1053353730 | Health Resources of Marcella, Inc. | Skilled Nursing Facility | 2305 Rancocas Rd, Burlington, NJ 08016-4113 | 2006-06-10 |
| 1649227398 | Burlington Medical Investors, LLC | Skilled Nursing Facility | 601 Cross St, Burlington, KS 66839-1105 | 2006-05-28 |
| 1558316828 | Burlington Woods Convalescent Center, Inc. | Skilled Nursing Facility | 115 Sunset Rd, Burlington, NJ 08016-4153 | 2006-05-24 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 53105 |
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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.