Organization Active NPI

Sibley-Suburban Home Health Agency Inc

  • Home Health Agency
  • Washington, DC
National Provider Identifier
1104413202
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SIBLEY-SUBURBAN HOME HEALTH AGENCY INC
Practice address
5255 Loughboro Road NW
Hayes Hall #523
Washington, DC 20016
Phone
(301) 896-6999
NPI assigned
Dec 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
James Van Daniker
Title
VP Finance/Cfo
Phone
(410) 288-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

5255 Loughboro Road NW
Hayes Hall #523
Washington, DC 20016

Mailing address

6700A Rockledge Dr
Bethesda, MD 20817-2859
Phone (301) 896-6999

Other identifiers 1

IdentifierTypeStateIssuer
HCA-0015OtherDCDC DEPARTMENT OF HEALTH LICENSING

Other names 1

  • Potomac Home Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Potomac Home Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5255 Loughboro Rd NW
#523
Washington, DC 20016
Phone (301) 896-6999

6700A Rockledge Dr
Bethesda, MD 20817

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1104413202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700A ROCKLEDGE DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172859",
            "telephone_number": "301-896-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 LOUGHBORO ROAD NW",
            "address_2": "HAYES HALL #523",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20016",
            "telephone_number": "301-896-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIBLEY-SUBURBAN HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "VAN DANIKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VP FINANCE/CFO",
        "authorized_official_telephone_number": "410-288-8000"
    },
    "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC DEPARTMENT OF HEALTH LICENSING",
            "identifier": "HCA-0015",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potomac Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Potomac Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.