Basic Information
Provider Information
NPI: 1992248975
EntityType: 2
ReplacementNPI:  
OrganizationName: BAYADA HOME HEALTH CARE, INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
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: 1 HARMON PLZ
Address2: SUITE 306
City: SECAUCUS
State: NJ
PostalCode: 070942803
CountryCode: US
TelephoneNumber: 2018638540
FaxNumber: 2018638560
Other Information
ProviderEnumerationDate: 11/23/2016
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: JOANA
AuthorizedOfficialFirstName: JENNIFER
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: DIRECTOR
AuthorizedOfficialTelephone: 9739095159
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: BAYADA HOME HEALTH CARE, INC.
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251E00000X  Y AgenciesHome Health 

No ID Information.


Home