National Lutheran Home for the Aged, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-141094 Issued in VA

Legal business name

NATIONAL LUTHERAN HOME FOR THE AGED, INC.

Doing business as

My Potential at Home

Practice address

320 Westside Station Drive
Winchester, VA 22601

Phone

(540) 450-0346

Fax

(540) 723-0858

NPI assigned

Feb 11, 2014

Last updated

Feb 11, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

NATIONAL LUTHERAN 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 J. Brady, CPA

Title

Cfo

Phone

(301) 354-2714

Specialties & licenses 1

Addresses

Other names 1

• My Potential at Home Doing business as

Part of

National Lutheran Home for the Aged Inc

Locations

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1871917856",
    "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": "301-354-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WESTSIDE STATION DRIVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-450-0346",
            "fax_number": "540-723-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL LUTHERAN HOME FOR THE AGED, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL LUTHERAN HOME FOR THE AGED, INC.",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-354-2714",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-141094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Potential at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Feb 11, 2014; 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.