NPIMap

Organization Active NPI

Old Dominion Adult Day Care

  • Community Based Hospice Care Agency
  • Petersburg, VA
National Provider Identifier
1003936220
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
OLD DOMINION ADULT DAY CARE
Practice address
2787 S Crater Rd
Suite D
Petersburg, VA 23805-2471
Phone
(804) 733-9037
Fax
(804) 733-1169
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Isabelle Hilliard, RN
Title
Director
Phone
(804) 733-9037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2787 S Crater Rd
Suite D
Petersburg, VA 23805-2471

Mailing address

2787 S Crater Rd
Suite D
Petersburg, VA 23805-2471
Phone (804) 733-9037

National Provider Directory

National Provider Directory
Tax ID family
Old Dominion Adult Day Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003936220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2787 S CRATER RD",
            "address_2": "SUITE D",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052471",
            "telephone_number": "804-733-9037",
            "fax_number": "804-733-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2787 S CRATER RD",
            "address_2": "SUITE D",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052471",
            "telephone_number": "804-733-9037",
            "fax_number": "804-733-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD DOMINION ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "ISABELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-733-9037",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.