NPIMap

Organization Active NPI

Expanding Potentials LLC

  • Home Health Agency
  • Columbia, MD
National Provider Identifier
1093034894
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXPANDING POTENTIALS LLC
Practice address
5895 Morningbird LN
Columbia, MD 21045-3520
Phone
(301) 801-1376
Fax
(443) 817-0715
NPI assigned
May 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Miss Brandy Kuereine O'Rourke, M.ED., BCBA, LBA
Title
Director
Phone
(301) 801-1376

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1-07-3491 VA
Home Health Agency 251E00000X Primary
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

5895 Morningbird LN
Columbia, MD 21045-3520

Mailing address

PO Box 7053
Columbia, MD 21045-7053
Phone (301) 801-1376

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1093034894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7053",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210457053",
            "telephone_number": "301-801-1376",
            "fax_number": "443-817-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5895 MORNINGBIRD LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453520",
            "telephone_number": "301-801-1376",
            "fax_number": "443-817-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPANDING POTENTIALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "O'ROURKE",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "KUEREINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-801-1376",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.ED., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "1-07-3491",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.