Provider Demographics
NPI:1548405954
Name:BAYADA NURSES, INC.
Entity Type:Organization
Organization Name:BAYADA NURSES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
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 1:326 MCKINLEY AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-1478
Practice Address - Country:US
Practice Address - Phone:724-537-6486
Practice Address - Fax:724-537-4683
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYADA NURSES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-15
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA39Q7763001Medicare Oscar/Certification