Provider Demographics
NPI:1104865161
Name:BAYADA HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:BAYADA HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:JOANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-909-5159
Mailing Address - Street 1:99 CHERRY HILL RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1122
Mailing Address - Country:US
Mailing Address - Phone:973-909-5159
Mailing Address - Fax:973-909-5112
Practice Address - Street 1:355 LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:NORTH VERSAILLES
Practice Address - State:PA
Practice Address - Zip Code:15137-1683
Practice Address - Country:US
Practice Address - Phone:412-374-1440
Practice Address - Fax:412-372-3745
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYADA HOME HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-05
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA77630501251E00000X, 164W00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000020440274Medicaid
PA39Q7763003Medicare Oscar/Certification
PAA476325OtherOXFORD HEALTH PLAN
PA803200Z4646100OtherEMPIRE BC/BS
PA0L0714OtherACS/HEALTH NET
PA99319OtherHEALTH AMERICA
PA16367OtherAETNA/US HEALTHCARE
PA47412OtherAMERIHEALTH MERCY HEALTH
PA1000020440048Medicaid
PA397763Medicare Oscar/Certification
PA0004456000OtherKEYSTONE HEALTH PLAN EAST
PA03-0000201OtherTOTAL MEDICAL SOLUTIONS
PA651443OtherPA BLUE SHIELD
PA228865OtherALLIANCE
PA1000020440014Medicaid
PA651443OtherIBC-PA BLUE SHIELD
PA25626OtherCOVENTRY HEALTH CARE
PA47412OtherKEYSTONE MERCY HEALTH PLA
PA115652OtherCAREMARK, INC
PA1000020440027Medicaid