Basic Information
| Provider Information | |||||||||
| NPI: | 1255372249 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BAYADA HOME HEALTH CARE, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 99 CHERRY HILL RD | ||||||||
| Address2: | SUITE 302 | ||||||||
| City: | PARSIPPANY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070541122 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9739095159 | ||||||||
| FaxNumber: | 9739095112 | ||||||||
| Practice Location | |||||||||
| Address1: | 12048 TESSON FERRY RD | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631281727 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3148491188 | ||||||||
| FaxNumber: | 3148495187 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2006 | ||||||||
| LastUpdateDate: | 02/14/2017 | ||||||||
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| AuthorizedOfficialLastName: | JOANA | ||||||||
| AuthorizedOfficialFirstName: | JENNIFER | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 9739095159 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | BAYADA HOME HEALTH CARE, INC. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | MO | Y | Agencies | Home Health |
No ID Information.