Healthcare Provider Details

I. General information

NPI: 1104413202
Provider Name (Legal Business Name): SIBLEY-SUBURBAN HOME HEALTH AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2020
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5255 LOUGHBORO ROAD NW HAYES HALL #523
WASHINGTON DC
20016
US

IV. Provider business mailing address

6700A ROCKLEDGE DR
BETHESDA MD
20817-2859
US

V. Phone/Fax

Practice location:
  • Phone: 301-896-6999
  • Fax:
Mailing address:
  • Phone: 301-896-6999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JAMES VAN DANIKER
Title or Position: VP FINANCE/CFO
Credential:
Phone: 410-288-8000