1811932429 NPI number — BAYADA HOME HEALTH CARE, INC,

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811932429 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:
1811932429
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:
643 GREENWAY RD
Provider Second Line Business Practice Location Address:
SUITE G
Provider Business Practice Location Address City Name:
BOONE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28607-4819
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-263-5350
Provider Business Practice Location Address Fax Number:
828-263-5354
Provider Enumeration Date:
06/18/2006

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:  HC3860 , 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: HC3860 , 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: HC3860 , 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: 3408428 , 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: 007AY . 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: 228865 . This is a "MAMSI" 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: 0076M . This is a "BC/BS OF NORTH CAROLINA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 115652 . This is a "CAREMARK, INC" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 6601147 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7107130 . This is a "AETNA INSURANCE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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