Provider Demographics
NPI:1477580280
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:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-662-4300
Mailing Address - Street 1:4300 HADDONFIELD RD
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-3376
Mailing Address - Country:US
Mailing Address - Phone:973-909-5159
Mailing Address - Fax:
Practice Address - Street 1:3196 KENNEDY BLVD
Practice Address - Street 2:KENNEDY MEDICAL CENTER
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-2436
Practice Address - Country:US
Practice Address - Phone:201-867-8667
Practice Address - Fax:201-867-8644
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYADA HOME HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-27
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0015318251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8346003Medicaid
NJ25626OtherCOVENTRY HEALTH CARE
NJ803200Z4646100OtherEMPIRE BC/BS
NJ000763OtherHORIZON HEALTHCARE - NY
NJ115652OtherCAREMARK, INC
NJ228865OtherMAMSI
NJ47412OtherKEYSTONE MERCY HEALTH PLA
NJ0L0714OtherMEDICAID PROVIDER NUMBER
NJ8346003Medicaid
NJ1504904OtherMAGNACARE
NJA476325OtherOXFORD HEALTH PLAN
NJ0004461000OtherAMERIHEALTH - NJ
NJ37545OtherAMERIGROUP - NJ
NJ1024958OtherHORIZON NJ HEALTH
NJ68746OtherAETNA/US HEALTHCARE
NJ81CN5ROtherDDD
NJYVPH8NOtherDYFS
NJ116848300OtherUS DEPT OF LABOR
NJ819074OtherHORIZON BC/BS OF NJ
NJA10008OtherMID-ATLANTIC HEALTH PLAN