KINDRED DEVELOPMENT 17, LLC
NPI 1497983936
Long Term Care Hospital in Melbourne, FL

NPI Status: Active since June 23, 2009

Contact Information

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

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  • Organization
  • Long Term Care Hospital
  • Accepts Insurance
  • CLIA Number: 10D1105442
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 12-29-2025

About KINDRED DEVELOPMENT 17, LLC

This page provides the complete NPI Profile along with additional information for Kindred Development 17, Llc, a provider established in Melbourne, Florida operating as a Long Term Care Hospital. The healthcare provider is registered in the NPI registry with number 1497983936 assigned on June 2009. The practitioner's primary taxonomy code is 282E00000X with license number 4501 (FL). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Johnetta Traylor (Authorized Official)

NPI
1497983936
Provider Legal Name
KINDRED DEVELOPMENT 17, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
765 W NASA BLVD MELBOURNE, FL 32901
Location Phone
(321) 733-5725
Location Fax
(321) 733-5725
Mailing Address
765 W NASA BLVD MELBOURNE, FL 32901
Mailing Phone
(321) 733-5725
Mailing Fax
(321) 733-5725
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2009
Last Update Date
10-29-2025
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According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is for profit and was certified on 09-01-2023 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke

According to the Long-Term Care Hospital Compare program data, Kindred Development 17, Llc is a for profit Medicare certified facility with approximately 60 beds. The initial Medicare certification or recertification date of this facility was on 08-01-2010

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Long Term Care Hospital

Taxonomy Code
282E00000X
Type
Hospitals
License No.
4501
License State
FL
Taxonomy Description
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clarity Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • Bronze 1826 ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) - HMO
  • Bronze 1826 + Adult Dental + Adult Vision ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) - HMO
  • Bronze Savings 1820 (Primary Care Copay Visits 1-5, Open Access) - HMO
  • Bronze Savings 1820 + Adult Dental + Adult Vision (Primary Care Copay Visits 1-5, Open Access) - HMO
  • Bronze Standard 1828 - HMO
  • Bronze Value 1814 (High Value Network Savings, Open Access) - HMO
  • Bronze Value 1814 + Adult Dental + Adult Vision (High Value Network Savings, Open Access) - HMO
  • Catastrophic 1746 (Primary Care Copay Visits 1-3, Open Access) - HMO
  • Gold 1742 (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) - HMO
  • Gold 1742 + Adult Dental + Adult Vision (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Essential- ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Standard+ (Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHNETTA TRAYLOR

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(502) 596-6063

Long-Term Care Hospital Compare Information

The Long-Term Care Hospital Compare program allows patients and caregivers make informed decisions about healthcare based on quality of care, cost, volume of services, and other data at certified Medicare facilities.

Certification Number CMS Certification Number
The CMS certification number (CCN) is used to identify the hospital listed.
102027
Ownership Type Ownership Type
Indicates the hospital's ownership type: For Profit, Non-profit, Government
For profit
Certification Date Certification Date
The initial Medicare certification or recertification date of the hospital.
08-01-2010
Number of Beds Total Number of Beds
The total number of beds in the hospital.
60
Catheter-associated urinary tract infections (CAUTI)Better than the National Benchmark
Central line-associated bloodstream infections (CLABSI)Better than the National Benchmark
Percentage of LTCH patients who experience one or more falls with major injury during their LTCH stay0.2
Clostridium difficile Infection (CDI)No Different than the National Benchmark
Influenza Vaccination Coverage Among Healthcare Personnel59.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an LTCHNo Different than the National Rate
Rate of successful return to home and community from an LTCHNo Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) in LTCHs $267
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified99.3
Percentage of patients with pressure ulcers/injuries that are new or worsened2.4

Inpatient Rehabilitation Information

The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.

  • KINDRED DEVELOPMENT 17, LLC has an ownership type of For profit
  • The facility received it's medicare certification date on 09-01-2023
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditions66
Brain disease or condition (non-traumatic)26
Brain injury (traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Hip or femur fracture20
Hip or knee replacement, amputation or other bone or joint condition31
Nervous system disorder (excluding stroke)22
Spinal cord disease or condition (non-traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Spinal cord injury (traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Stroke33

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D1105442
Facility Type
Hospital
Certificate Effective Date
December 30, 2023
Certificate Expiration Date
December 29, 2025
Laboratory Director
DR. PEDRO A. CARMONA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Kindred Development 17, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for KINDRED DEVELOPMENT 17, LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1497983936, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 84. The final step is to find the difference between that total and the next multiple of ten (90 - 84 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 8 + 7 + 1 + 8 + 8 + 6 + 9 + 6 + 24 = 84

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 84 is 90. The difference is the calculated check digit.

90 - 84 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1497983936.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Radiology (Vascular & Interventional Radiology)
765 W NASA BLVD
MELBOURNE, FL 32901
Hospitalist
765 W NASA BLVD
MELBOURNE, FL 32901
Occupational Therapist
765 W NASA BLVD
MELBOURNE, FL 32901
Anesthesiology
765 W NASA BLVD
MELBOURNE, FL 32901
Physical Therapist
765 W NASA BLVD
MELBOURNE, FL 32901
Occupational Therapist
765 W NASA BLVD
MELBOURNE, FL 32901
Physical Therapist
765 W NASA BLVD
MELBOURNE, FL 32901
Rehabilitation Unit
765 W NASA BLVD
MELBOURNE, FL 32901
Radiology (Vascular & Interventional Radiology)
765 W NASA BLVD
MELBOURNE, FL 32901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497983936, enumerated as an "organization" on June 23, 2009.

The provider is located at 765 W NASA BLVD MELBOURNE, FL 32901 and the phone number is (321) 733-5725.

Long Term Care Hospital with taxonomy code 282E00000X.

The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama, Florida Blue. Please consult your insurance carrier or call the provider to verify.