1770514226 NPI number — BAYADA HOME HEALTH CARE, INC.

Table of content: (NPI 1770514226)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770514226 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:
1770514226
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/10/2014
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:
212 LE PHILLIP CT
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
CONCORD
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28025-2984
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-795-5000
Provider Business Practice Location Address Fax Number:
704-795-5025
Provider Enumeration Date:
07/05/2006

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 & COLLECTIONS
Authorized Official Telephone Number:
856-793-1703

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HC3467 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251J00000X , with the licence number: HC3467 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X , with the licence number: HC3467 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 115652 . This is a "CAREMARK, INC" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 007AY . This is a "BC/BS OF NORTH CAROLINA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 228865 . This is a "ALLIANCE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 228865 . This is a "MAMSI" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 7107130 . This is a "AETNA INSURANCE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 6601545 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100591 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2527159 . This is a "AETNA/US HEALTHCARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 0076M . This is a "BC/BS OF NORTH CAROLINA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 1594 . This is a "PIEDMONT" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 3408428 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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