NPIMap

Organization Active NPI

Bbkshh, LLC

  • Home Health Agency
  • Dover, DE
National Provider Identifier
1689100620
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BBKSHH, LLC
Practice address
651 S. Bay Road
Unit K-1
Dover, DE 19901-4615
Phone
(302) 213-5030
Fax
(302) 213-5033
NPI assigned
May 11, 2017
Organization subpart
Yes
Parent organization
BAYADA HOME HEALTH CARE, INC.As reported in NPPES

Authorized official

NPPES NPI Registry
Name
Michael P JohnsonNPI 1093924938
Title
President
Phone
(610) 237-2618

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 17

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Change of ownership 1

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

Facilities with the same owner 114

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 114

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 149

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 149

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bayada Home Health Care at BayhealthCCN 087024
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jun 6, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2130606Bbkshh, LLC, Dba/ Bayada Home Health Care651 S Bay Road, Suite K-1, Dover, DE 19901Certificate of waiverMay 11, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170808000648 DE Part a Provider - Home Health Agency 0446521595 Practice locations: Dover, DE

Home health agency certification: CCN 087024

Medicare enrollment files
Legal name
BBKSHH LLC
Doing business as
BAYADA HOME HEALTH CARE AT BAYHEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 6, 1985
Last certification
Oct 27, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
651 S Bay Road
Unit K-1
Dover, DE 19901-4615

All disclosed owners & managing parties 9

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Matthew W Tanzer Individual Corporate DirectorBoard Member Dec 19, 2018
Andrew Gentile Individual Corporate OfficerSecretary Jan 27, 2023
Bayhealth Medical Center, Inc Organization, Dover, DE Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jun 26, 2017 48%
Kyle Benoit Individual Corporate OfficerVice Chair May 12, 2025
Bayada Home Health Care, Inc. Organization, Moorestown, NJ Created for acquisition, Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 26, 2017 52%
Operational/Managerial Control Jun 26, 2017
Tekia N Lee Individual W-2 Managing EmployeeRehabilitation Manager Oct 26, 2021
Operational/Managerial ControlRehabilitation Manager Oct 26, 2021
Michael P. Johnson Individual Corporate OfficerPresident Apr 25, 2017
Michael Tretina Individual Corporate OfficerTreasurer Apr 25, 2017
Jonathan R Kaufmann Individual Corporate DirectorBoard Member Feb 7, 2023

Change-of-ownership history 1

Medicare enrollment files
DateEventCounterparty
Jun 26, 2017 Change of OwnershipThis provider was the buyer Kent General Hospital (Prior to 1/97 Merger)CCN 087024, DE, NPI 1831285436

National Provider Directory

National Provider Directory
Part of
Bayada Home Health Care Inc

Locations

651 S Bay Rd
Unit K1
Dover, DE 19901
Phone (302) 213-5030

655 S Bay Rd
Ste 1K
Dover, DE 19901
Phone (302) 213-5030

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X DE Primary

Addresses

NPPES NPI Registry

Primary practice location

651 S. Bay Road
Unit K-1
Dover, DE 19901-4615

Mailing address

4300 Haddonfield Rd
Pennsauken, NJ 08109-3376
Phone (973) 909-5159

Other names 1

NPPES NPI Registry
  • BAYADA Home Health Care at Bayhealth Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 3, 2023.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1689100620",
    "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": "651 S. BAY ROAD",
            "address_2": "UNIT K-1",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014615",
            "telephone_number": "302-213-5030",
            "fax_number": "302-213-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BBKSHH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAYADA HOME HEALTH CARE, INC.",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-237-2618"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYADA Home Health Care at Bayhealth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BAYADA Home Health Care at Bayhealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.