Organization · Type 2 NPI

Kindred Nursing Centers West, LLC

Skilled Nursing Facility · Stockton, CA

NPI number 1891700464 Active

Practice location

1517 E Knickerbocker Dr
Stockton, CA 95210-3119

Call (209) 957-4539 Map

Fax (209) 957-5831

Mailing address

680 S. 4th Street
Louisville, KY 40202-2407

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	LTC55307I (CA)

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 r…

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NPI record

NPI: 1891700464
Entity type: Organization (Type 2)
Issued: Jul 30, 2006
Last updated: Sep 28, 2017
Status: Active

Other names

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Kindred Transitional Care and Rehabilitation - Valley Gardens · doing business as

Authorized official

Ms. Marilyn A. Weaver
Assistant Secretary
(502) 596-7563

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891700464

Kindred Nursing Centers West, LLC's National Provider Identifier is 1891700464, issued on Jul 30, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Stockton, CA. The record was last updated on Sep 28, 2017.