Healthcare Provider Details

I. General information

NPI: 1821433061
Provider Name (Legal Business Name): BAYADA HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2013
Last Update Date: 05/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2651 E 21ST ST SUITE 309
TULSA OK
74114-1715
US

IV. Provider business mailing address

101 EXECUTIVE DR SUITE 4
MOORESTOWN NJ
08057-4236
US

V. Phone/Fax

Practice location:
  • Phone: 918-742-1808
  • Fax: 918-742-1817
Mailing address:
  • Phone: 856-778-4400
  • Fax: 856-778-4107

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: STEPHEN FLANNERY
Title or Position: DIRECTOR OF BILLING & COLLECTIONS
Credential:
Phone: 856-778-4400