# NATIONAL LUTHERAN HOME FOR THE AGED, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NATIONAL LUTHERAN HOME FOR THE AGED, INC.
- **Other names:** My Potential at Home
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871917856
- **Legal business name:** NATIONAL LUTHERAN HOME FOR THE AGED, INC.
- **Authorized official:** MR. MICHAEL J. BRADY CPA (CFO)
- **Authorized official phone:** (301) 354-2714

## Contact information

- **Practice address:** 320 WESTSIDE STATION DRIVE, WINCHESTER, VA 22601
- **Practice address phone:** (540) 450-0346
- **Practice address fax:** (540) 723-0858
- **Mailing address:** 2301 RESEARCH BLVD, SUITE 310, ROCKVILLE, MD 20850-3204
- **Mailing address phone:** (301) 354-2702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-141094 | VA | Yes |

## Other

- **Enumeration date:** 02/11/2014
- **Last updated:** 02/11/2014