Individual provider Active NPI

Blanche Laure Bagneki

  • Home Health Aide
  • Glenarden, MD
National Provider Identifier
1558620120
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
S 412092488618 Issued in MD
Practice address
2705 Sir Michael PL
Glenarden, MD 20706-1687
Phone
(240) 705-7374
NPI assigned
May 16, 2012
Last updated
May 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X S 412092488618 MD Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

2705 Sir Michael PL
Glenarden, MD 20706-1687

Mailing address

2705 Sir Michael PL
Glenarden, MD 20706-1687
Phone (240) 705-7374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S 412092488618MDMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1558620120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 SIR MICHAEL PL",
            "city": "GLENARDEN",
            "state": "MD",
            "postal_code": "207061687",
            "telephone_number": "240-705-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 SIR MICHAEL PL",
            "city": "GLENARDEN",
            "state": "MD",
            "postal_code": "207061687",
            "telephone_number": "240-705-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGNEKI",
        "first_name": "BLANCHE",
        "middle_name": "LAURE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "S 412092488618",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenarden, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.