1801837976 NPI number — BAYADA HOME HEALTH CARE, INC.

Table of content: (NPI 1801837976)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801837976 NPI number — BAYADA HOME HEALTH CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BAYADA HOME HEALTH CARE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801837976
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/17/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

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

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
115 PHEASANT RUN
Provider Second Line Business Practice Location Address:
SUITE 211
Provider Business Practice Location Address City Name:
NEWTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18940-1886
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-579-0006
Provider Business Practice Location Address Fax Number:
215-579-2803
Provider Enumeration Date:
06/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FLANNERY
Authorized Official First Name:
STEPHEN
Authorized Official Middle Name:
P
Authorized Official Title or Position:
DIRECTOR OF BILLING & COLEECTIONS
Authorized Official Telephone Number:
856-778-4400

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  77910501 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 803200Z4646100 . This is a "EMPIRE BC/BS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: A10008 . This is a "MID-ATLANTIC HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 47412 . This is a "AMERIHEALTH MERCY HEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: A476325 . This is a "OXFORD HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000020440014 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 47412 . This is a "KEYSTONE MERCY HEALTH PLA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000020440058 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 228865 . This is a "MAMSI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 03-0000201 . This is a "TOTAL MEDICAL SOLUTIONS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 651443 . This is a "IBC-PA BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0004456000 . This is a "KEYSTONE HEALTH PLAN EAST" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 16367 . This is a "AETNA/US HEALTHCARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000020440048 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1504904 . This is a "MAGNACARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 651443 . This is a "PA BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0L0714 . This is a "ACS/HEALTH NET" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 115652 . This is a "CAREMARK, INC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 228865 . This is a "ALLIANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 99319 . This is a "HEALTH AMERICA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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