Provider Demographics
NPI:1295766111
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 1:8801 J M KEYNES DR STE 305&330A
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-8436
Practice Address - Country:US
Practice Address - Phone:704-971-4600
Practice Address - Fax:704-971-4601
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYADA HOME HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-06
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X
NCHC2063251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1295766111Medicaid
NC115652OtherCAREMARK, INC
NC0076MOtherBC/BS OF NORTH CAROLINA
NC007AYOtherBC/BS OF NORTH CAROLINA
NC7107130OtherAETNA INSURANCE
NC228865OtherMAMSI
NC3408428Medicaid
NC6600594Medicaid
NC1594OtherPIEDMONT
NC228865OtherALLIANCE