=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164453247
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BAYADA HOME HEALTH CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/06/2006
-----------------------------------------------------
Last Update Date | 08/22/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 161 MADISON AVE STE 350
-----------------------------------------------------
City | MORRISTOWN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07960-7364
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-867-3000
-----------------------------------------------------
Fax | 973-889-5800
-----------------------------------------------------
=====================================================
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 | PRESIDENT/CEO
-----------------------------------------------------
Name | DAVID BAIADA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 856-662-4300
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HP0015302
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------