Provider Demographics
NPI:1316973787
Name:BAYADA HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:BAYADA HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-662-4300
Mailing Address - Street 1:4300 HADDONFIELD RD
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-3376
Mailing Address - Country:US
Mailing Address - Phone:973-909-5159
Mailing Address - Fax:
Practice Address - Street 1:1985 TATE BLVD SE
Practice Address - Street 2:SUITE 417
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-1469
Practice Address - Country:US
Practice Address - Phone:828-327-3300
Practice Address - Fax:828-327-3303
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYADA HOME HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-25
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2076251E00000X, 253Z00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1316973787Medicaid
NC7100433Medicaid
NC228865OtherALLIANCE
NC228865OtherMAMSI
NC3408428Medicaid
NC1594OtherPIEDMONT
NC7107130OtherAETNA INSURANCE
NC6800446Medicaid
NC6600810Medicaid
NC0076MOtherBC/BS OF NORTH CAROLINA
NC007AYOtherBC/BS OF NORTH CAROLINA
NC2527159OtherAETNA/US HEALTHCARE