Provider Demographics
NPI:1760420178
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
Mailing Address - Street 2:SUITE 302
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1122
Mailing Address - Country:US
Mailing Address - Phone:973-909-5159
Mailing Address - Fax:973-909-5112
Practice Address - Street 1:3 SYLVAN RD S
Practice Address - Street 2:1ST FLOOR
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-4639
Practice Address - Country:US
Practice Address - Phone:203-854-5100
Practice Address - Fax:203-855-1889
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYADA HOME HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-04
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0011251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0L0714OtherACS/HEALTH NET
CT53AOtherANTHEM BC/BS
CT115652OtherCAREMARK, INC
CT004237956Medicaid
CT53AOtherANTHEM BC/BS