Sibley-Suburban Home Health Agency Inc
Organization Active NPI Home Health Agency · Bethesda, MD
NPI 1144267147 · NPPES record last updated Apr 30, 2025
Key facts
- NPI
- 1144267147
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- HH7084 (MD)
- Legal business name
- SIBLEY-SUBURBAN HOME HEALTH AGENCY 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
- Organization subpart
- No
Authorized official
- Name
- James Van Daniker
- Title
- VP Finance/Cfo
- Phone
- (410) 288-8000
Owners & managing parties with NPI records 4
-
Jennifer A Abele, MD
Corporate family (same tax ID) 1
Member of 1
Affiliated clinicians 49
-
Robert Buber, MD
-
Christopher Cannova, M.D.
-
Marc Donald Connell, M.D.
-
Panfilo Castro Delacruz, M.D.
-
Sridhar Durbhakula, M.D.
-
Jessica Engle, DO
-
David Christopher Flores, MSPA, PA-C
-
Michael E. Goldsmith, M.D.
-
Kelly A Goodman, NP
-
George W Graves, MD
-
Justin Hahn, DO
-
Deborah Horwitz, MD
-
Bradley J Hunter, DO
-
Joanne Leslie Kinney, M.D.
-
Carlos E Picone, M.D.
-
Sarojini Sonia Qasba, MD, MPH
Medicare Care Compare: Home health agency
- Listed as
- Potomac Home Health Care
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Non-Profit
- Certified
- Apr 5, 1984
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
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
- Corporation · Non-profit
- Incorporated
- Jun 24, 1986 in MD
- Enrollment address
- 6700A Rockledge Dr
Ste 200
Bethesda, MD 20817-2861
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin K Sowers |
Corporate Officer |
Jul 1, 2023 | |
| Suburban Hospital Inc |
5% Or Greater Direct Ownership Interest | Jun 24, 1986 | 50% |
| Lucy Webb Hayes National Training School for Deaconesses & Missionarie |
5% Or Greater Direct Ownership Interest | Jun 24, 1986 | 50% |
| Carolyn Carpenter |
Corporate Director |
Jul 1, 2020 | |
| Pamela T Owens |
Operational/Managerial Control |
Jul 1, 2017 | |
| Mitra Gavgani |
Corporate Officer |
Jul 3, 2023 | |
| Paula Grant |
Corporate Officer |
Mar 14, 2025 | |
| James Vandaniker |
Corporate Officer |
Jul 1, 2020 | |
| Jennifer Abele |
Corporate Officer |
Jul 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100428000105 | MD | Part a Provider - Home Health Agency | 7517094311 | Practice locations: Bethesda, MD |
National Provider Directory
- Tax ID family
- Potomac Home Health Care
Locations
6700A Rockledge Dr
Ste 200
Bethesda, MD 20817
Phone (301) 896-6999
6001 Montrose Rd
Ste 307
Rockville, MD 20852
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HH7084 | MD | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024606400 | Medicaid | DC | |
| 273263700 | Medicaid | MD |
Other names
- POTOMAC HOME HEALTH CARE, INC.
Other providers in Bethesda, MD
- Stephanie Strauss Shuchart
- Zshakira Shulterbrandt
- Morgan Lynn Shumate
- Rodney Scott Shumate
- Tyler Shumway
- Christopher Tate Sibley
- Corley Ann Sibold
- Michael Carreon Sibulo
- Maureen Siburt
- Micah Sickel
All providers in Bethesda, MD · Home Health Agency in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.