Provider Demographics
NPI:1306222468
Name:BAYADA HOME CARE
Entity Type:Organization
Organization Name:BAYADA HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BILLING & COLLECTIONS
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:FLANNERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-778-4400
Mailing Address - Street 1:101 EXECUTIVE DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-4236
Mailing Address - Country:US
Mailing Address - Phone:856-778-4400
Mailing Address - Fax:856-778-4103
Practice Address - Street 1:4510 SALT LAKE BLVD
Practice Address - Street 2:SUITE B-6
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-3153
Practice Address - Country:US
Practice Address - Phone:808-597-1711
Practice Address - Fax:808-597-1713
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYADA HOME CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-30
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health