Organization Active NPI

Bayada Home Health Care, Inc.

  • Home Health Agency
  • Sun City Center, FL
National Provider Identifier
1124065982
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
20171095 Issued in FL
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, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
BAYADA HOME HEALTH CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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)CodeLicenseStatePrimary
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

DateEventCounterparty
Nov 7, 2022 Change of OwnershipThis provider was the seller Manatee Health at Home by BayadaCCN 107776, FL, NPI 1922730654

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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

Verify at the official NPI Registry.