Mypotential Virginia, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-151094 Issued in VA

Legal business name

MYPOTENTIAL VIRGINIA, LLC

Doing business as

myPotential at Home

Practice address

320 Westside Station Dr
Winchester, VA 22601-2839

Phone

(540) 450-0343

Fax

(540) 723-0858

NPI assigned

Jun 10, 2015

Last updated

Jun 10, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

NATIONAL LUTERAN HOME FOR THE AGED, INC.As reported in NPPES

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

Authorized official

Name

Mr. Michael Joseph Brady Sr., CPA

Title

Chief Financial Officer

Phone

(301) 354-2714

Specialties & licenses 1

Addresses

Other names 1

• myPotential at Home Doing business as

Part of

National Lutheran Home for the Aged Inc

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline A Garringer, M.D.

  • Optometrist
  • Winchester, VA
  • NPI 1730113028
  NPD (past)
• Tayyib S Rana, MD

  • Ophthalmology Physician
  • Herndon, VA
  • NPI 1336176650
  NPD (past)
• Hussam Eddin Tawfiq Moh'D Banna, MD

  • Ophthalmology Physician
  • Chapel Hill, NC
  • NPI 1750810958
  NPD (past)

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1528449055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 RESEARCH BLVD",
            "address_2": "SUITE 310",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503204",
            "telephone_number": "301-354-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WESTSIDE STATION DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012839",
            "telephone_number": "540-450-0343",
            "fax_number": "540-723-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYPOTENTIAL VIRGINIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL LUTERAN HOME FOR THE AGED, INC.",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "301-354-2714",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-151094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "myPotential at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanna Myers, PA-C
• Lisa Ann Myers
• Nancy D Myers, MPA, PA-C
• Myeyedr Optometry of Virginia, PLLC (MyEyeDr.)
• Myeyedr Optometry of Virginia, PLLC (MyEyeDr.)
• Ifrah Naeem, MD
• Pamela Pitcock Nagley
• Katie Alexis Nagy
• Melissa Nakaishi, SBD
• Arnold Mandela Nana Djomo, DNP

• Home Health Agency in Winchester, VA
• Providers in Winchester, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.