MEDICARE: KENDAL ON HUDSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700884053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KENDAL ON HUDSON

Provider Business Mailing Address
First Line	:	1010 KENDAL WAY
Second Line	:	KENDAL ON HUDSON
City	:	SLEEPY HOLLOW
State	:	NY
Zip	:	10591
Country	:	US
Telephone Number	:	914-922-1082
Fax Number	:	914-922-1150

Provider Business Practice Location Address
First Line	:	1010 KENDAL WAY
Second Line	:	KENDAL ON HUDSON
City	:	SLEEPY HOLLOW
State	:	NY
Zip	:	10591
Country	:	US
Telephone Number	:	914-922-1082
Fax Number	:	914-922-1150

Authorized Official
Title or Position	:	CFO
Name	:	MS. JENNIFER K. ANDERSON
Credential	:
Telephone Number	:	914-922-1082

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	01/27/2012

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Directions to “KENDAL ON HUDSON ” Practice Location

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