Active NPI
Bayada Home Health Care, Inc.
- Home Health Agency
- Sun City Center, FL
National Provider Identifier
1124065982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 20171095
- Legal business name
- BAYADA HOME HEALTH CARE, INC.
- Practice address
- 129 S Pebble Beach Blvd
Suite 103
Sun City Center, FL 33573-5718 - Phone
- (813) 633-6800
- Fax
- (813) 633-6801
- NPI assigned
- Jun 1, 2006
- Last updated
- Apr 26, 2022
- 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
- David Baiada
- Title
- President/Ceo
- Phone
- (856) 662-4300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 20171095 | FL | Primary |
Addresses
Primary practice location
129 S Pebble Beach Blvd
Suite 103
Sun City Center, FL 33573-5718
Mailing address
4300 Haddonfield Rd
Pennsauken, NJ 08109-3376
Phone (973) 909-5159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Part of
- Bayada Home Health Care Inc
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Nov 7, 2022 | Change of Ownership | Manatee Health at Home by Bayada |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Manatee Health at Home by BAYADA
- Home Health Agency
- Sun City Center, FL
- NPI 1922730654
Sold to, 2022-11-07
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650931200000",
"number": "1124065982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 HADDONFIELD RD",
"city": "PENNSAUKEN",
"state": "NJ",
"postal_code": "081093376",
"telephone_number": "973-909-5159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 S PEBBLE BEACH BLVD",
"address_2": "SUITE 103",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335735718",
"telephone_number": "813-633-6800",
"fax_number": "813-633-6801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYADA HOME HEALTH CARE, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAYADA HOME HEALTH CARE, INC.",
"enumeration_date": "2006-06-01",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A",
"authorized_official_last_name": "BAIADA",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "856-662-4300"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "20171095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City Center, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.