Healthcare Provider Details

I. General information

NPI: 1700130077
Provider Name (Legal Business Name): BAYADA HOME HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2012
Last Update Date: 01/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 FAIRWAY DR SUITE 142V
DEERFIELD BEACH FL
33441-1812
US

IV. Provider business mailing address

101 EXECUTIVE DR SUITE 4
MOORESTOWN NJ
08057-4236
US

V. Phone/Fax

Practice location:
  • Phone: 954-427-0339
  • Fax: 954-429-1197
Mailing address:
  • Phone: 856-778-4400
  • Fax: 856-778-4103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN P. FLANNERY
Title or Position: DIRECTOR BILLING & COLLECTIONS
Credential:
Phone: 856-778-4400