Basic Information
| Provider Information | |||||||||
| NPI: | 1538496096 | ||||||||
| 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: | 3333 S WADSWORTH BLVD | ||||||||
| Address2: | SUITE 321 | ||||||||
| City: | LAKEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802275122 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3039854215 | ||||||||
| FaxNumber: | 3039850244 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/04/2009 | ||||||||
| LastUpdateDate: | 01/16/2017 | ||||||||
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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 | Y | Agencies | Home Health |
ID Information
| ID | Type | State | Issuer | Description | 99272563 | 05 | CO | MEDICAID |