=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124831581
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BAYADA HOME HEALTH CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/29/2025
-----------------------------------------------------
Last Update Date | 01/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 220 STONERIDGE DR STE 400
-----------------------------------------------------
City | COLUMBIA
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29210-8018
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-239-5994
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4300 HADDONFIELD RD
-----------------------------------------------------
City | PENNSAUKEN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08109-3376
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-909-5159
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DAVID BAIADA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 973-909-5159
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------