Healthcare Provider Details
I. General information
NPI: 1306569447
Provider Name (Legal Business Name): BAYADA HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2022
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
463 MOUNTAIN VIEW DR STE 100
COLCHESTER VT
05446-5952
US
IV. Provider business mailing address
4300 HADDONFIELD RD
PENNSAUKEN NJ
08109-3376
US
V. Phone/Fax
- Phone: 802-448-1610
- Fax: 802-658-8501
- Phone: 973-909-5159
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
BAIADA
Title or Position: CEO
Credential:
Phone: 973-909-5159