Bagiwa Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BAGIWA HEALTHCARE SERVICES LLC

Practice address

15510 Aitcheson LN
Laurel, MD 20707-3044

Phone

(240) 603-6123

Fax

(019) 050-4463

NPI assigned

Sep 17, 2018

Organization subpart

No

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

Authorized official

Name

Ann Smith, RN

Title

Owner/President

Phone

(301) 968-0961

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bagiwa Doing business as

Locations

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1902380926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10319 WESTLAKE DR # 115",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208176403",
            "telephone_number": "301-968-0961",
            "fax_number": "301-968-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15510 AITCHESON LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073044",
            "telephone_number": "240-603-6123",
            "fax_number": "019-050-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAGIWA HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "301-968-0961",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902380926",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bagiwa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bagiwa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bac Health Services LLC
• Liliane Badawu
• Sade Bademosi
• Jun Tae Bae, D.D.S.
• Hannah Maiye Bafor
• Doreen Bagonza, RN BSN MPH CMSRN
• Ermalyn Baguio
• Amadou Bah
• Fatmata Bah, PMHNP-BC
• Yukino Baier

• Home Health Agency in Laurel, MD
• Providers in Laurel, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.