KINDRED DEVELOPMENT 17 LLC NPI 1497983936

NPI Information

  • NPI: 1497983936
  • Provider Name: KINDRED DEVELOPMENT 17, LLC
  • Classification: Long Term Care Hospital - 282E00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 10D1105442
  • Address: 765 W NASA BLVD
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 733-5725

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NPI Details

KINDRED DEVELOPMENT 17, LLC is a long term care hospital in Melbourne, FL. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. KINDRED DEVELOPMENT 17, LLC NPI is 1497983936. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

765 W NASA BLVD
MELBOURNE, FL
ZIP 32901-815
Phone: (321) 733-5725
Fax: (321) 733-5725

The provider's authorized official is Johnetta Traylor .
The authorized official title is Authorized Official and has the following contact phone number (502) 596-6063.

The CLIA number assigned to this NPI record is 10D1105442 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/23/2009 and was last updated on 10/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282E00000XLong Term Care Hospital4501FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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