Healthcare Provider Details

I. General information

NPI: 1114229937
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: 06/06/2023
Certification Date: 06/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 BLAIR PARK RD STE 275&306
WILLISTON VT
05495-7586
US

IV. Provider business mailing address

4300 HADDONFIELD RD
PENNSAUKEN NJ
08109-3376
US

V. Phone/Fax

Practice location:
  • Phone: 802-655-7111
  • Fax: 802-861-2921
Mailing address:
  • Phone: 973-909-5159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

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