Provider Demographics
NPI: | 1366954372 |
---|---|
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: | 800 CUMMINGS CENTER |
Practice Address - Street 2: | SUITES 364-U & 366-U |
Practice Address - City: | BEVERLY |
Practice Address - State: | MA |
Practice Address - Zip Code: | 01915-6175 |
Practice Address - Country: | US |
Practice Address - Phone: | 978-922-0186 |
Practice Address - Fax: | 978-922-0260 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | BAYADA HOME HEALTH CARE, INC. |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2017-10-31 |
Last Update Date: | 2022-05-10 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MA | 251E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |