Provider Demographics
NPI:1508812637
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 1:2041 COLUMBIA BLVD
Practice Address - Street 2:
Practice Address - City:BLOOMSBURG
Practice Address - State:PA
Practice Address - Zip Code:17815-8867
Practice Address - Country:US
Practice Address - Phone:570-389-1568
Practice Address - Fax:570-389-9261
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYADA HOME HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-26
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA02740501251E00000X, 164W00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000020440075Medicaid
PA398050Medicare Oscar/Certification
PA228865OtherALLIANCE
PA228865OtherMAMSI
PAA10008OtherMID-ATLANTIC HEALTH PLAN
PAA476325OtherOXFORD HEALTH PLAN
PA115652OtherCAREMARK, INC
PA25626OtherCOVENTRY HEALTHCARE
PAOL0714OtherACS/HEALTH NET
PA651443OtherPA BLUE SHEILD
PA1000020440075Medicaid
PA16367OtherAETNA/US HEALTHCARE
PA80300Z4646100OtherEMPIRE BC/BS
PA1504904OtherMAGNACARE
PA398050Medicare Oscar/Certification
PA47412OtherAMERIHEALTH MERCY HEALTHP
PA651443OtherIBC-PA BLUE SHIELD
PA99319OtherHEALTH AMERICA