- Enrollment id
- O20130603000131
- Enrollment state
- MD
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1902149891
- Multiple npi flag
- N
- Ccn
- 217158
- Associate id
- 2860309671
- Organization name
- BAYADA HOME HEALTH CARE, INC.
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 352A CHRISTOPHER AVE
- City
- GAITHERSBURG
- State
- MD
- Zip code
- 208793660