Healthcare Provider Details
I. General information
NPI: 1598796476
Provider Name (Legal Business Name): BAYADA HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/06/2006
Last Update Date: 07/12/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
260 W EXCHANGE ST STE 1
PROVIDENCE RI
02903-1000
US
IV. Provider business mailing address
4300 HADDONFIELD RD
PENNSAUKEN NJ
08109-3376
US
V. Phone/Fax
- Phone: 401-273-1112
- Fax: 401-273-5706
- Phone: 973-909-5159
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
BAIADA
Title or Position: PRESIDENT/CEO
Credential:
Phone: 856-662-4300