Provider Demographics
NPI:1447281043
Name:BAYADA HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:BAYADA HOME HEALTH CARE, INC.
Other - Org Name:<UNAVAIL>
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 1:15 READS WAY
Practice Address - Street 2:SUITE 205
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-1600
Practice Address - Country:US
Practice Address - Phone:302-322-2300
Practice Address - Fax:302-322-6300
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYADA HOME HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-05
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEHHAS-041251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE00000411938Medicaid
DE1447281043Medicaid
DE1881739837Medicaid
DE1881739837Medicaid
DE08Q7021001OtherMEDICARE PROVIDER #
DEA476325OtherOXFORD HEALTH PLAN
DE25626OtherCOVENTRY HEALTH CARE
DE228865OtherMAMSI
DE000411938Medicaid
DEA10008OtherMID-ATLANTIC HEALTH PLAN
DE228865OtherALLIANCE
DE0000411938OtherEDS-DE MEDICAID
DE115652OtherCAREMARK, INC
DE63503OtherAETNA/US HEALTHCARE
DE000054214Medicaid
DE0004424000OtherKEYSTONE HEALTH PLAN
DE0004494000OtherIBC-PA BLUE SHLD PERS CHO
DE156066OtherBLUE CROSS OF DE