Basic Information
| Provider Information | |||||||||
| NPI: | 1639108541 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BAYADA HOME HEALTH CARE, INC. | ||||||||
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| 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: | 1819 JOHN F KENNEDY BLVD STE 424 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191031741 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155686666 | ||||||||
| FaxNumber: | 2155688344 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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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 | 12423601 | PA | Y | Agencies | Home Health |
ID Information
| ID | Type | State | Issuer | Description | 1000020440148 | 05 | PA | MEDICAID |