Provider Demographics
NPI:1750302535
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 1:99 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 1:630 FITZWATERTOWN RD
Practice Address - Street 2:SUITE B3
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-1928
Practice Address - Country:US
Practice Address - Phone:215-657-7711
Practice Address - Fax:215-657-5376
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYADA HOME HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-21
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03060501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000020440040Medicaid
PA398077Medicare Oscar/Certification
PA803200Z4646100OtherEMPIRE BC/BS
PA651443OtherIBC-PA BLUE SHIELD
PA0004456000OtherKEYSTONE HEALTH PLAN EAST
PA03-0000201OtherTOTAL MEDICAL SOLUTIONS
PA47412OtherAMERIHEALTH MERCY HEALTH
PA398077Medicare Oscar/Certification