Healthcare Provider Details

I. General information

NPI: 1720017650
Provider Name (Legal Business Name): BAYADA HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 05/24/2022
Certification Date: 05/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 ROTHSVILLE RD STE 100
LITITZ PA
17543-9029
US

IV. Provider business mailing address

4300 HADDONFIELD RD
PENNSAUKEN NJ
08109-3376
US

V. Phone/Fax

Practice location:
  • Phone: 717-627-0215
  • Fax: 610-645-5291
Mailing address:
  • Phone: 973-909-5159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number01830500
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

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