Basic Information
Provider Information
NPI: 1235431057
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: 99 CHERRY HILL RD STE 302
Address2:  
City: PARSIPPANY
State: NJ
PostalCode: 070541102
CountryCode: US
TelephoneNumber: 9739095159
FaxNumber: 9739095112
Practice Location
Address1: 28 VERNON ST STE 327
Address2:  
City: BRATTLEBORO
State: VT
PostalCode: 053013668
CountryCode: US
TelephoneNumber: 8022547071
FaxNumber: 8022547072
Other Information
ProviderEnumerationDate: 11/30/2010
LastUpdateDate: 06/25/2020
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: 06/25/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251J00000X  N AgenciesNursing Care 
251E00000X  Y AgenciesHome Health 

No ID Information.


Home