Healthcare Provider Details
I. General information
NPI: 1235431057
Provider Name (Legal Business Name): BAYADA HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/30/2010
Last Update Date: 06/25/2020
Certification Date: 06/25/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
28 VERNON ST STE 327
BRATTLEBORO VT
05301-3668
US
IV. Provider business mailing address
99 CHERRY HILL RD STE 302
PARSIPPANY NJ
07054-1102
US
V. Phone/Fax
- Phone: 802-254-7071
- Fax: 802-254-7072
- Phone: 973-909-5159
- Fax: 973-909-5112
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
BAIADA
Title or Position: PRESIDENT/CEO
Credential:
Phone: 856-662-4300