Healthcare Provider Details

I. General information

NPI: 1861326977
Provider Name (Legal Business Name): POTENTIALCARE HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3227 COFER RD APT A
RICHMOND VA
23224-6403
US

IV. Provider business mailing address

10304 EATON PL STE 100
FAIRFAX VA
22030-2221
US

V. Phone/Fax

Practice location:
  • Phone: 804-928-1119
  • Fax:
Mailing address:
  • Phone: 800-555-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANK JULIUS SWAI
Title or Position: CEO
Credential: OWNER
Phone: 804-928-1119