Healthcare Provider Details
I. General information
NPI: 1447780747
Provider Name (Legal Business Name): BAYADA HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/19/2017
Last Update Date: 07/03/2023
Certification Date: 07/03/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22 BRIDGE ST STE 7
CONCORD NH
03301-4987
US
IV. Provider business mailing address
4300 HADDONFIELD RD
PENNSAUKEN NJ
08109-3376
US
V. Phone/Fax
- Phone: 603-724-6689
- Fax: 603-931-3200
- Phone: 973-909-5159
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | NH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | NH |
VIII. Authorized Official
Name:
DAVID
BAIADA
Title or Position: PRESIDENT/CEO
Credential:
Phone: 856-662-4300