Provider Demographics
NPI:1790732428
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 1:1189 HIGHWAY 315
Practice Address - Street 2:SUITE 4
Practice Address - City:WILKES-BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702-6959
Practice Address - Country:US
Practice Address - Phone:570-883-9022
Practice Address - Fax:570-883-7497
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYADA HOME HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-28
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA02730501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000020440174Medicaid
PA398049Medicare Oscar/Certification
NY803200Z4646100OtherEMPIRE BC/BS
PA000456000OtherKEYSTONE HEALTH PLAN EAST
PA1504904OtherMAGNACARE
PA47412OtherAMERIHEALTH MERCY HEALTH
PA009928OtherAMERIHEALTH ADMINISTRATOR
PA03-0000201OtherTOTAL MEDICAL SOLUTIONS
PA228865OtherALLIANCE
PA228865OtherMAMSI
PA47412OtherKEYSTONE MERCY HEALTH PLA
PA99319OtherHEALTH AMERICA
PA1000020440048Medicaid
PA1000020440014Medicaid
PA398049Medicare Oscar/Certification
PAA10008OtherMID-ATLANTIC HEALTH PLAN
PAOL0714OtherACS/HEALTH NET
PA25626OtherCOVENTRY HEALTH CARE
PA651443OtherPA BLUE SHIELD
PAA476325OtherOXFORD HEALTH PLAN
PA115652OtherCAREMARK, INC