Healthcare Provider Details

I. General information

NPI: 1497026264
Provider Name (Legal Business Name): BAYADA HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2012
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 SAN PEDRO DR NE STE 104 BUILDING 2
ALBUQUERQUE NM
87110-4133
US

IV. Provider business mailing address

99 CHERRY HILL RD STE 201
PARSIPPANY NJ
07054-1122
US

V. Phone/Fax

Practice location:
  • Phone: 505-884-5041
  • Fax: 505-888-6415
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 Number3395
License Number StateNM

VIII. Authorized Official

Name: JENNIFER JOANA
Title or Position: DIRECTOR
Credential:
Phone: 973-909-5159