Active NPI
Bayada Home Health Care, Inc.
- Home Health Agency
- Tucson, AZ
National Provider Identifier
1063743078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA-1562
- Legal business name
- BAYADA HOME HEALTH CARE, INC.
- Practice address
- 1775 W Saint Marys Rd
Suite 214
Tucson, AZ 85745-2696 - Phone
- (520) 531-9600
- Fax
- (520) 531-9666
- NPI assigned
- Jan 15, 2010
- Last updated
- Jul 26, 2016
- Organization subpart
- Yes
- Parent organization
- BAYADA HOME HEALTH CARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen P. Flannery
- Title
- Director Billing and Collections
- Phone
- (856) 778-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA-1562 | AZ | Primary |
Addresses
Primary practice location
1775 W Saint Marys Rd
Suite 214
Tucson, AZ 85745-2696
Mailing address
101 Executive Dr
Suite 4
Moorestown, NJ 08057-4236
Phone (856) 778-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 467672 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030915000014 | AZ | Part A Provider - Home Health Agency | 2860309671 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tucson, AZ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1063743078. Details of each certification follow.
Home health agency certification: CCN 037213
- Legal name
- BAYADA HOME HEALTH CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 24, 1998
- Last certification
- Aug 5, 2021
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation
- Enrollment address
- 6367 E Tanque Verde Rd
Ste 150
Tucson, AZ 85715-3915
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Bayada Home Health Care, Inc
- Overall star rating
- Ownership
- Non-Profit
- Certified
- Sep 24, 1998
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Part of
- Bayada Home Health Care Inc
Ownership & related parties
All disclosed owners & managing parties 17
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Stephanie S Miller | W-2 Managing Employee | Jan 30, 2024 | |
| Operational/Managerial Control | Jan 30, 2024 | ||
| Shirlee Sharkey | Corporate Director | Jan 28, 2020 | |
| Bayada | 5% Or Greater Indirect Ownership Interest | Dec 31, 2018 | 100% |
| Thomas Considine | Corporate Director | Sep 26, 2019 | |
| David L Baiada | Corporate Officer | Dec 31, 2018 | |
| W-2 Managing Employee | Dec 31, 2018 | ||
| Paul M Baiada | Corporate Director | Dec 31, 2018 | |
| Jennifer Joana | W-2 Managing Employee | Dec 1, 2003 | |
| Enrico J Ballezzi | Corporate Director | Dec 31, 2018 | |
| Thomas J. Saporito | Corporate Director | Dec 31, 2018 | |
| Bayada Home Health Care, Inc. | Operational/Managerial Control | Dec 31, 2018 | 100% |
| Robert Edmund | Corporate Officer | Oct 7, 2024 | |
| Joseph Mark Baiada | Corporate Officer | Dec 31, 2018 | |
| Teresa Carroll | Corporate Director | Jun 23, 2020 | |
| Winselow Tucker | Corporate Director | Feb 1, 2022 | |
| Gavin Robert Kerr | Corporate Director | Dec 31, 2018 | |
| Bayada Health, LLC. | 5% Or Greater Direct Ownership Interest | Dec 31, 2018 | 100% |
| Brian Ford | Corporate Director | Sep 26, 2019 |
Practitioners & affiliated clinicians
Affiliated clinicians 181
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- Gilbert, AZ
- NPI 1952732380
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469491200000",
"number": "1063743078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 EXECUTIVE DR",
"address_2": "SUITE 4",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080574236",
"telephone_number": "856-778-4400",
"fax_number": "856-778-4103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 W SAINT MARYS RD",
"address_2": "SUITE 214",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452696",
"telephone_number": "520-531-9600",
"fax_number": "520-531-9666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYADA HOME HEALTH CARE, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAYADA HOME HEALTH CARE, INC.",
"enumeration_date": "2010-01-15",
"last_updated": "2016-07-26",
"status": "A",
"authorized_official_last_name": "FLANNERY",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "DIRECTOR BILLING AND COLLECTIONS",
"authorized_official_telephone_number": "856-778-4400"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AZ",
"license": "HHA-1562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "467672",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.