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General NPI Number Information
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NPI Number | 1366489221
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Entity Type | Organization
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Legal Business Name | KALEIDA HEALTH
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 445 TREMONT ST
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-6150
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Country | US
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Telephone | 716-690-2077
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Fax |
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Provider Business Mailing Address
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Address Line | 726 EXCHANGE ST SUITE 300
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City | BUFFALO
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State | NY
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Zip | 14210-1484
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Country | US
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Telephone | 716-859-7200
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Fax | 716-859-8658
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Authorized Official
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Title or Position | AR MANAGER
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Name | ANGELA H MCCROREY
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Credential |
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Telephone | 716-859-8313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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