NPIMap

Organization Active NPI

Bayada Home Health Care, Inc.

  • Home Health Agency
  • Concord, NC
National Provider Identifier
1770514226
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3467 Issued in NC
Legal business name
BAYADA HOME HEALTH CARE, INC.
Practice address
212 Le Phillip CT
Suite 202
Concord, NC 28025-2984
Phone
(704) 795-5000
Fax
(704) 795-5025
NPI assigned
Jul 5, 2006
Organization subpart
Yes
Parent organization
BAYADA HOME HEALTH CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen P Flannery
Title
Director of Billing & Collections
Phone
(856) 793-1703

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3467 NC Primary
Nursing Care Agency 251J00000X HC3467 NC
In Home Supportive Care Agency 253Z00000X HC3467 NC

Addresses

Primary practice location

212 Le Phillip CT
Suite 202
Concord, NC 28025-2984

Mailing address

101 Executive Dr
Suite 4
Moorestown, NJ 08057-4236
Phone (856) 778-4400

Other identifiers 11

IdentifierTypeStateIssuer
115652OtherNCCAREMARK, INC
007AYOtherNCBC/BS OF NORTH CAROLINA
228865OtherNCALLIANCE
228865OtherNCMAMSI
7107130OtherNCAETNA INSURANCE
6601545MedicaidNC
7100591MedicaidNC
2527159OtherNCAETNA/US HEALTHCARE
0076MOtherNCBC/BS OF NORTH CAROLINA
1594OtherNCPIEDMONT
3408428MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Bayada Home Health Care Inc323 organizations share this tax ID, including this one
Part of
Bayada Home Health Care Inc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

212 Le Phillip Ct NE
Ste 202
Concord, NC 28025
Phone (704) 795-5000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1770514226",
    "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": "212 LE PHILLIP CT",
            "address_2": "SUITE 202",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252984",
            "telephone_number": "704-795-5000",
            "fax_number": "704-795-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYADA HOME HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAYADA HOME HEALTH CARE, INC.",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-02-10",
        "status": "A",
        "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"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3467",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC3467",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC3467",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREMARK, INC",
            "identifier": "115652",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NORTH CAROLINA",
            "identifier": "007AY",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "228865",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "228865",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "7107130",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601545",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100591",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "2527159",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NORTH CAROLINA",
            "identifier": "0076M",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIEDMONT",
            "identifier": "1594",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408428",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.