Organization
BAYADA NURSES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN P FLANNERY (DIRECTOR OF REIMBURSEMENT)
(856) 793-1703
Entity
Organization
Contact information
Practice address
200 CONNECTICUT AVE, SUITE 5-F, NORWALK, CT 06854-1940
(203) 854-5100
(203) 855-1889
Mailing address
101 EXECUTIVE DR, SUITE 4, MOORESTOWN, NJ 08057-4236
(856) 793-1703
(856) 439-0412
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0011
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0L0714
ACS/HEALTH NET
CT
01
—
115652
CAREMARK, INC
CT
01
—
53A
ANTHEM BC/BS
CT
Enumeration date
07/11/2006
Last updated
08/22/2020
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