Provider Demographics
NPI:1679509335
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 1:1804 N BRIDGE ST
Practice Address - Street 2:
Practice Address - City:ELKIN
Practice Address - State:NC
Practice Address - Zip Code:28621-2104
Practice Address - Country:US
Practice Address - Phone:336-835-8500
Practice Address - Fax:336-835-3510
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYADA HOME HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-24
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3289251E00000X, 253Z00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1679509335Medicaid
NC1594OtherPIEDMONT
NC007AYOtherBC/BS OF NORTH CAROLINA
NC7107130OtherAETNA INSURANCE
NC115652OtherCAREMARK, INC
NC6601470Medicaid
NC228865OtherMAMSI
NC228865OtherALLIANCE
NC7100585Medicaid
NC0076MOtherBC/BS OF NORTH CAROLINA
NC2527159OtherAETNA/US HEALTHCARE