Provider Demographics
NPI:1801837976
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:DIRECTOR OF BILLING & COLEECTIONS
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:856-778-4400
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:856-778-4400
Mailing Address - Fax:856-778-4103
Practice Address - Street 1:115 PHEASANT RUN
Practice Address - Street 2:SUITE 211
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1886
Practice Address - Country:US
Practice Address - Phone:215-579-0006
Practice Address - Fax:215-579-2803
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:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA77910501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA803200Z4646100OtherEMPIRE BC/BS
PAA10008OtherMID-ATLANTIC HEALTH PLAN
PA47412OtherAMERIHEALTH MERCY HEALTH
PAA476325OtherOXFORD HEALTH PLAN
PA1000020440014Medicaid
PA47412OtherKEYSTONE MERCY HEALTH PLA
PA1000020440058Medicaid
PA228865OtherMAMSI
PA03-0000201OtherTOTAL MEDICAL SOLUTIONS
PA651443OtherIBC-PA BLUE SHIELD
PA0004456000OtherKEYSTONE HEALTH PLAN EAST
PA16367OtherAETNA/US HEALTHCARE
PA1000020440048Medicaid
PA1504904OtherMAGNACARE
PA651443OtherPA BLUE SHIELD
PA0L0714OtherACS/HEALTH NET
PA115652OtherCAREMARK, INC
PA228865OtherALLIANCE
PA99319OtherHEALTH AMERICA
PAA476325OtherOXFORD HEALTH PLAN