Healthcare Provider Details

I. General information

NPI: 1124466255
Provider Name (Legal Business Name): BAYADA HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 06/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 WOLF RD SUITE 308
ALBANY NY
12205-2608
US

IV. Provider business mailing address

101 EXECUTIVE DR
MOORESTOWN NJ
08057-4236
US

V. Phone/Fax

Practice location:
  • Phone: 518-437-5177
  • Fax: 518-437-5110
Mailing address:
  • Phone: 856-778-4400
  • Fax: 856-778-4103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. STEPHEN FLANNERY
Title or Position: DIRECTOR OF BILLING AND COLLECTIONS
Credential:
Phone: 856-778-4400