Basic Information
Provider Information
NPI: 1144256488
EntityType: 2
ReplacementNPI:  
OrganizationName: BAYADA HOME HEALTH CARE, INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4300 HADDONFIELD RD
Address2:  
City: PENNSAUKEN
State: NJ
PostalCode: 081093376
CountryCode: US
TelephoneNumber: 9739095159
FaxNumber:  
Practice Location
Address1: 1200 RIDGEFIELD BLVD STE 110A
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288062253
CountryCode: US
TelephoneNumber: 8286815100
FaxNumber: 8286653050
Other Information
ProviderEnumerationDate: 06/25/2006
LastUpdateDate: 10/24/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: BAIADA
AuthorizedOfficialFirstName: DAVID
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PRESIDENT/CEO
AuthorizedOfficialTelephone: 8566624300
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: BAYADA HOME HEALTH CARE, INC.
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/24/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251E00000XHC2482NCY AgenciesHome Health 

No ID Information.


Home