Lanre Bagudu, CHHA

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

26NH08726200 Issued in NJ

Practice address

2 Reler LN Apt L
Somerset, NJ 08873-3821

Phone

(732) 407-3622

NPI assigned

Oct 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467542209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RELER LN APT L",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733821",
            "telephone_number": "732-407-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RELER LN APT L",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733821",
            "telephone_number": "732-407-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGUDU",
        "first_name": "LANRE",
        "credential": "CHHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NJ",
            "license": "26NH08726200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Aide in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Home Health Aide in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.