NPIMap

Organization Active NPI

Sibley-Suburban Home Health Agency Inc

Doing business as Potomac Home Health Care, Inc.

  • Home Health Agency
  • Bethesda, MD
National Provider Identifier
1144267147
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HH7084 Issued in MD
Legal business name
SIBLEY-SUBURBAN HOME HEALTH AGENCY INC
Doing business as
Potomac Home Health Care, Inc.
Practice address
6700A Rockledge Dr Ste 200
Bethesda, MD 20817-2861
Phone
(301) 896-6999
Fax
(301) 468-3554
NPI assigned
May 31, 2006
Last updated
Apr 30, 2025By the provider in NPPES
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HH7084 MD Primary

Addresses

Primary practice location

6700A Rockledge Dr Ste 200
Bethesda, MD 20817-2861

Mailing address

6700A Rockledge Dr Ste 200
Bethesda, MD 20817-2861
Phone (301) 896-6999

Other practice location 1

5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 243-5177

Other names 1

  • POTOMAC HOME HEALTH CARE, INC. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100428000105 MD Part A Provider - Home Health Agency 7517094311 Practice locations: Bethesda, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144267147. Details of each certification follow.

Home health agency certification: CCN 217084

Legal name
SIBLEY-SUBURBAN HOME HEALTH AGENCY INC
Doing business as
POTOMAC HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 5, 1984
Last certification
Jul 29, 2014
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jun 24, 1986 in MD
Enrollment address
6700A Rockledge Dr
Ste 200
Bethesda, MD 20817-2861

Care Compare: Home health agency

Medicare Care Compare
Listed as
Potomac Home Health CareCCN 217084 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Apr 5, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6700A Rockledge Dr
Ste 200
Bethesda, MD 20817
Phone (301) 896-6999

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kevin K Sowers Individual Corporate OfficerBoard Member Jul 1, 2023
Suburban Hospital Inc Organization, Bethesda, MD Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Jun 24, 1986 50%
Lucy Webb Hayes National Training School for Deaconesses & Missionarie Organization, Washington, DC Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Jun 24, 1986 50%
Carolyn Carpenter Individual Corporate DirectorBoard Member Jul 1, 2020
Pamela T Owens Individual Operational/Managerial ControlChief Compliance Officer Jul 1, 2017
Mitra Gavgani Individual Corporate OfficerInterim President/Ceo Jul 3, 2023
Paula Grant Individual Corporate OfficerSecretary Mar 14, 2025
James Vandaniker Individual Corporate OfficerVP Finance/Cfo Jul 1, 2020
Jennifer Abele Individual Corporate OfficerBoard Member Jul 1, 2025

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 49

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1144267147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700A ROCKLEDGE DR STE 200",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172861",
            "telephone_number": "301-896-6999",
            "fax_number": "301-468-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700A ROCKLEDGE DR STE 200",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172861",
            "telephone_number": "301-896-6999",
            "fax_number": "301-468-3554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5255 Loughboro Rd NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200162633",
            "country_code": "US",
            "telephone_number": "202-243-5177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIBLEY-SUBURBAN HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "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": "MD",
            "license": "HH7084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POTOMAC HOME HEALTH CARE, INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "POTOMAC HOME HEALTH CARE, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.