Provider Demographics
NPI:1760429120
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 1:1 OUTLET LN
Practice Address - Street 2:SUITES 205/206
Practice Address - City:LOCK HAVEN
Practice Address - State:PA
Practice Address - Zip Code:17745-7815
Practice Address - Country:US
Practice Address - Phone:570-769-6330
Practice Address - Fax:570-769-6336
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYADA HOME HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-02
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03660501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000020440068Medicaid
PA398118Medicare Oscar/Certification
PA99319OtherHEALTH AMERICA
PA1504904OtherMAGNACARE
PA47412OtherAMERIHEALTH MERCY HEALTH
PA803200Z4646100OtherEMPIRE BC/BS
PAA476325OtherOXFORD HEALTH PLAN
PA1000020440048OtherPA MEDICAL ASSISTANCE
PA1000020440068Medicaid
PA0L0714OtherACS/HEALTH NET
PAA10008OtherMID-ATLANTIC HEALTH PLAN
PA398049Medicare PIN
PA115652OtherCAREMARK, INC
PA228865OtherMAMSI
PA1000020440014OtherPA MEDICAL ASSISTANCE
PA16367OtherAETNA/US HEALTHCARE
PA25626OtherCOVENTRY HEALTH CARE
PA651443OtherIBC-PA BLUE SHIELD
PA398118Medicare Oscar/Certification