Provider Demographics
NPI:1295776375
Name:BAYADA HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:BAYADA HOME HEALTH CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position: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:973-909-5159
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 1:1846 CHARTER LN STE 212
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6773
Practice Address - Country:US
Practice Address - Phone:717-291-9000
Practice Address - Fax:717-291-9174
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYADA HOME HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-09
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03490501251E00000X
PA772205164W00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000020440055Medicaid
PA398107Medicare Oscar/Certification
PA0L0714OtherACS/HEALTH NET
PA803200Z4646100OtherEMPIRE BC/BS
PA651443OtherPA BLUE SHIELD
PA228865OtherALLIANCE
PA47412OtherKEYSTONE MERCY HEALTH PLA
PA651443OtherIBC-PA BLUE SHIELD
PA1000020440055Medicaid
PA1000020440048Medicaid
PA03-0000201OtherTOTAL MEDICAL SOLUTIONS
PA99319OtherHEALTH AMERICA
PA1504904OtherMAGNACARE
PA16367OtherAETNA/US HEALTHCARE
PA228865OtherMAMSI
PA47412OtherAMERIHEALTH MERCY HEALTH
PAA476325OtherOXFORD HEALTH PLAN
PA25626OtherCOVENTRY HEALTH CARE
PA1000020440014Medicaid
PA398107Medicare Oscar/Certification