Provider Demographics
NPI:1104413202
Name:SIBLEY-SUBURBAN HOME HEALTH AGENCY INC
Entity type:Organization
Organization Name:SIBLEY-SUBURBAN HOME HEALTH AGENCY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE/CFO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN DANIKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-288-8000
Mailing Address - Street 1:6700A ROCKLEDGE DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-2859
Mailing Address - Country:US
Mailing Address - Phone:301-896-6999
Mailing Address - Fax:
Practice Address - Street 1:5255 LOUGHBORO ROAD NW
Practice Address - Street 2:HAYES HALL #523
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016
Practice Address - Country:US
Practice Address - Phone:301-896-6999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-23
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCHCA-0015OtherDC DEPARTMENT OF HEALTH LICENSING