Healthcare Provider Details

I. General information

NPI: 1164190104
Provider Name (Legal Business Name): BAYADA HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2021
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 ALA MAKANI ST STE 200
KAHULUI HI
96732-3507
US

IV. Provider business mailing address

4300 HADDONFIELD RD
PENNSAUKEN NJ
08109-3376
US

V. Phone/Fax

Practice location:
  • Phone: 808-204-2893
  • Fax: 808-244-7575
Mailing address:
  • Phone: 973-909-5159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: DAVID BAIADA
Title or Position: PRESIDENT/CEO
Credential:
Phone: 856-662-4300