Basic Information
| Provider Information | |||||||||
| NPI: | 1801828587 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | BAYADA NURSES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 101 EXECUTIVE DR | ||||||||
| Address2: | SUITE 4 | ||||||||
| City: | MOORESTOWN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080574236 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8567931703 | ||||||||
| FaxNumber: | 8564390412 | ||||||||
| Practice Location | |||||||||
| Address1: | 87 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | WOODSTOWN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080981103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8567697170 | ||||||||
| FaxNumber: | 8567697174 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | FLANNERY | ||||||||
| AuthorizedOfficialFirstName: | STEPHEN | ||||||||
| AuthorizedOfficialMiddleName: | P | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR OF REIMBURSEMENT | ||||||||
| AuthorizedOfficialTelephone: | 8567931703 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | HP0015323 | NJ | Y | Agencies | Home Health |
ID Information
| ID | Type | State | Issuer | Description | 115652 | 01 | NJ | CAREMARK, INC | OTHER | 0L0714 | 01 | NJ | ACS/HEALTH NET | OTHER | 1504904 | 01 | NJ | MAGNACARE | OTHER | 228865 | 01 | NJ | MAMSI | OTHER | 0004461000 | 01 | NJ | AMERIHEALTH - NJ | OTHER | 25626 | 01 | NJ | COVENTRY HEALTH CARE | OTHER | YVPH8N | 01 | NJ | DYFS | OTHER | 000763 | 01 | NJ | HORIZON HEALTHCARE - NY | OTHER | 819074 | 01 | NJ | HORIZON BC/BS OF NJ | OTHER | 9028803 | 05 | NJ | MEDICAID | A10008 | 01 | NJ | MID-ATLANTIC HEALTH PLAN | OTHER | A476325 | 01 | NJ | OXFORD HEALTH PLAN | OTHER | 68746 | 01 | NJ | AETNA/US HEALTHCARE | OTHER | 1024958 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 37545 | 01 | NJ | AMERIGROUP NEW JERSEY | OTHER | 47412 | 01 | NJ | KEYSTONE MERCY HEALTH PLA | OTHER | 803200Z4646100 | 01 | NJ | EMPIRE BC/BS | OTHER | 81CN5R | 01 | NJ | DDD | OTHER |