Provider Demographics
NPI:1639108541
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 STE 302
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1102
Mailing Address - Country:US
Mailing Address - Phone:973-909-5159
Mailing Address - Fax:973-909-5112
Practice Address - Street 1:1819 JOHN F KENNEDY BLVD STE 424
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-1741
Practice Address - Country:US
Practice Address - Phone:215-568-6666
Practice Address - Fax:215-568-8344
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYADA HOME HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA12423601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000020440148Medicaid
PA803200A4646100OtherEMPIRE BC/BS
PA0L0714OtherACS/HEALTH NET
PA115652OtherCAREMARK, INC
PA47412OtherAMERIHEALTH MERCY HEALTH
PA03-0000201OtherTOTAL MEDICAL SOLUTIONS
PA1504904OtherMAGNACARE
PA651443OtherIBC-PA BLUE SHIELD
PA0004456000OtherKEYSTONE HEALTH PLAN EAST
PA1000020440048OtherPA MEDICAL ASSISTANCE
PA228865OtherALLIANCE
PA1000020440014OtherPA MEDICAL ASSISTANCE
PA16367OtherAETNA/US HEALTHCARE
PA25626OtherCOVENTRY HEALTH CARE
PA99319OtherHEALTH AMERICA
PA228865OtherMAMSI
PAA10008OtherMID-ATLANTIC HEALTH PLAN