MEDICARE: BAYADA HOME HEALTH CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	12423601	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639108541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYADA HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	99 CHERRY HILL RD STE 302
Second Line	:
City	:	PARSIPPANY
State	:	NJ
Zip	:	07054-1102
Country	:	US
Telephone Number	:	973-909-5159
Fax Number	:	973-909-5112

Provider Business Practice Location Address
First Line	:	1819 JOHN F KENNEDY BLVD STE 424
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-1741
Country	:	US
Telephone Number	:	215-568-6666
Fax Number	:	215-568-8344

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JENNIFER JOANA
Credential	:
Telephone Number	:	973-909-5159

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	07/21/2022

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