Healthcare Provider Details

I. General information

NPI: 1144708330
Provider Name (Legal Business Name): BAYADA HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2018
Last Update Date: 07/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 FLETCHER ST STE 2
KENNEBUNK ME
04043-6705
US

IV. Provider business mailing address

99 CHERRY HILL RD STE 302
PARSIPPANY NJ
07054-1102
US

V. Phone/Fax

Practice location:
  • Phone: 207-282-0501
  • Fax: 207-282-0266
Mailing address:
  • Phone: 973-909-5159
  • Fax: 973-909-5112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JENNIFER L JOANA
Title or Position: DIRECTOR
Credential:
Phone: 973-909-5111