- Enrollment id
- O20060427000288
- Enrollment state
- NJ
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1275580615
- Multiple npi flag
- Y
- Ccn
- 317065
- Associate id
- 2860309671
- Organization name
- BAYADA HOME HEALTH CARE, INC.
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 4300 HADDONFIELD RD
- Address line 2
- STE 3A
- City
- PENNSAUKEN
- State
- NJ
- Zip code
- 081093376