Provider Demographics
| NPI: | 1366954372 |
|---|---|
| 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: | 800 CUMMINGS CENTER |
| Practice Address - Street 2: | SUITES 364-U & 366-U |
| Practice Address - City: | BEVERLY |
| Practice Address - State: | MA |
| Practice Address - Zip Code: | 01915-6175 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 978-922-0186 |
| Practice Address - Fax: | 978-922-0260 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | BAYADA HOME HEALTH CARE, INC. |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2017-10-31 |
| Last Update Date: | 2022-05-10 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| MA | 251E00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 251E00000X | Agencies | Home Health |