Provider Demographics
NPI: | 1821503327 |
---|---|
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: | 400 SOUTHPOINTE BLVD STE 415 |
Practice Address - Street 2: | |
Practice Address - City: | CANONSBURG |
Practice Address - State: | PA |
Practice Address - Zip Code: | 15317-8548 |
Practice Address - Country: | US |
Practice Address - Phone: | 724-743-7030 |
Practice Address - Fax: | 724-743-7031 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | BAYADA HOME HEALTH CARE, INC. |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2017-12-06 |
Last Update Date: | 2022-05-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | 77630501 | 251E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |