MEDICARE: B.C.P., INC. DBA/ BAYADA HOME HEALTH CARE

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

General Provider Information

NPI Number	:	1649661836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B.C.P., INC. DBA/ BAYADA HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	101 EXECUTIVE DR
Second Line	:	SUITE 4
City	:	MOORESTOWN
State	:	NJ
Zip	:	08057-4236
Country	:	US
Telephone Number	:	856-778-4400
Fax Number	:	856-778-4103

Provider Business Practice Location Address
First Line	:	4510 SALT LAKE BLVD
Second Line	:	SUITE B-6
City	:	HONOLULU
State	:	HI
Zip	:	96818-3153
Country	:	US
Telephone Number	:	808-597-1711
Fax Number	:	808-597-1713

Authorized Official
Title or Position	:	DIRECTOR OF BILLING & COLLECTIONS
Name	:	STEPHEN P. FLANNERY
Credential	:
Telephone Number	:	856-778-4400

Provider Enumeration Date	:	02/10/2015
Last Update Date	:	08/27/2015

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