Provider Demographics
NPI:1982639910
Name:BAYADA NURSES
Entity Type:Organization
Organization Name:BAYADA NURSES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:FLANNERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-793-1703
Mailing Address - Street 1:101 EXECUTIVE DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-4236
Mailing Address - Country:US
Mailing Address - Phone:856-793-1703
Mailing Address - Fax:856-439-0412
Practice Address - Street 1:200 CONNECTICUT AVE
Practice Address - Street 2:SUITE 5-F
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854-1940
Practice Address - Country:US
Practice Address - Phone:203-854-5100
Practice Address - Fax:203-855-1889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0011251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT53AOtherANTHEM BC/BS
CT0L0714OtherACS/HEALTH NET
CT115652OtherCAREMARK, INC
CT115652OtherCAREMARK, INC