Healthcare Provider Details

I. General information

NPI: 1851626196
Provider Name (Legal Business Name): BAYADA HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2009
Last Update Date: 07/09/2020
Certification Date: 07/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 N BRIDGE ST SUITE 102-A
ELKIN NC
28621-2104
US

IV. Provider business mailing address

99 CHERRY HILL RD SUITE 302
PARSIPPANY NJ
07054-1122
US

V. Phone/Fax

Practice location:
  • Phone: 336-526-1952
  • Fax: 336-835-3510
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 NumberHC3858
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHC3858
License Number StateNC

VIII. Authorized Official

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