Old Glory Home Health Care & Assistive Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OLD GLORY HOME HEALTH CARE & ASSISTIVE CARE

Practice address

2108 W Laburnum Ave Ste 230
Richmond, VA 23227-4300

Phone

(804) 599-7868

NPI assigned

May 10, 2023

Organization subpart

No

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

Authorized official

Name

Kim FosterNPI 1932978491

Title

Owner

Phone

(804) 599-7868

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Home health agency certification: CCN 497808

Legal name

OLD GLORY HOME HEALTH CARE & ASSISTIVE CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 30, 2024

Last certification

Mar 20, 2024

Organization structure

LLCProprietary

Incorporated

Feb 20, 2023 in VA

Enrollment address

2108 W Laburnum Ave
Ste 230
Richmond, VA 23227-4300

Listed as

Old Glory Home Health Care & Assistive CareCCN 497808

Overall star rating

2 of 5

Ownership

-

Certified

Mar 30, 2024

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Brooke Trainer, M.D

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1285951244

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim Foster

  • Registered Nurse
  • Richmond, VA
  • NPI 1932978491
  NPD Authorized official
• Brooke Trainer, M.D

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1285951244
  NPD

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1043900418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 W LABURNUM AVE STE 230",
            "address_2": "SUITE 230",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274300",
            "telephone_number": "804-269-0637",
            "fax_number": "804-441-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 W LABURNUM AVE STE 230",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274300",
            "telephone_number": "804-599-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD GLORY HOME HEALTH CARE & ASSISTIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-599-7868"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Old Dominion Home Health Services
• Old Dominion Home Health Services Inc
• Old Dominion Home Health Services Inc
• Old Dominion Medical Staffing Agency LLC
• Old Dominion Physical Medicine PLLC
• Old Glory Personalized Health
• Robert A. Older, M.D.
• Sarah Katherine Oldham, PA, RDN
• Tawana Toneke Olds-Davis, L.C.S.W
• Tiffany P Olds, LCSW

• Home Health Agency in Richmond, VA
• Providers in Richmond, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.