MEDICARE: BAYADA HOME HEALTH CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	HC3858	NC
2	251E00000X	Home Health Agency	HC3858	NC

General Provider Information

NPI Number	:	1851626196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYADA HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	99 CHERRY HILL RD
Second Line	:	SUITE 302
City	:	PARSIPPANY
State	:	NJ
Zip	:	07054-1122
Country	:	US
Telephone Number	:	973-909-5159
Fax Number	:	973-909-5112

Provider Business Practice Location Address
First Line	:	1810 N BRIDGE ST
Second Line	:	SUITE 102-A
City	:	ELKIN
State	:	NC
Zip	:	28621-2104
Country	:	US
Telephone Number	:	336-526-1952
Fax Number	:	336-835-3510

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	DAVID BAIADA
Credential	:
Telephone Number	:	856-662-4300

Provider Enumeration Date	:	10/05/2009
Last Update Date	:	07/09/2020

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