Basic Information
| Provider Information | |||||||||
| NPI: | 1760420178 | ||||||||
| 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: | 3 SYLVAN RD S | ||||||||
| Address2: | 1ST FLOOR | ||||||||
| City: | WESTPORT | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068804639 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2038545100 | ||||||||
| FaxNumber: | 2038551889 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2006 | ||||||||
| 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 | 0011 | CT | Y | Agencies | Home Health |
ID Information
| ID | Type | State | Issuer | Description | 0L0714 | 01 | CT | ACS/HEALTH NET | OTHER | 53A | 01 | CT | ANTHEM BC/BS | OTHER | 115652 | 01 | CT | CAREMARK, INC | OTHER | 004237956 | 05 | CT | MEDICAID |