Old Dominion Rehabilitation and Nursing LLC
Organization Active NPI Skilled Nursing Facility · Newport News, VA
NPI 1649038381 · NPPES record last updated Aug 6, 2025
Key facts
- NPI
- 1649038381
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- OLD DOMINION REHABILITATION AND NURSING LLC
- Practice address
- 4 Ridgewood Pkwy
Newport News, VA 23602-4415 - Phone
- (757) 703-4200
- NPI assigned
- Mar 7, 2024
- Organization subpart
- No
Authorized official
- Name
- Akiva Shapiro
- Title
- Coo
- Phone
- (201) 581-6622
Owners & managing parties with NPI records 1
Facilities with the same owner 78
Medicare Care Compare: Nursing home
- Listed as
- Old Dominion Rehabilitation and Nursing
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 21, 1989
- Medicare certification status
- Active
- Certified beds
- 115 · 103.9 residents per day on average
- Chain
- Eastern Healthcare Group
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2 · fines totaling $368,040
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Skilled nursing facility certification: CCN 495204
- Legal name
- OLD DOMINION REHABILITATION AND NURSING LLC
- Doing business as
- OLD DOMINION REHABILITATION AND NURSING
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 21, 1989
- Last certification
- Mar 3, 2022
- Beds
- 115
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Eastern Healthcare Group
- Organization structure
- LLC · Proprietary
- Incorporated
- Mar 1, 2024 in VA
- Enrollment address
- 4 Ridgewood Pkwy
Newport News, VA 23602-4415 - Nursing home name
- OLD DOMINION REHABILITATION AND NURSING
- Affiliated entity
- EASTERN HEALTHCARE GROUP
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| VA SNF Operations Holdings LLC |
5% Or Greater Direct Ownership Interest | May 1, 2024 | 100% |
| Rachel Hyman |
Trustee of the SNF | May 1, 2024 | |
| Old Dominion Propco LLC |
Adp of the SNF | May 1, 2024 | |
| Amir Hajimomenian |
Corporate Director |
May 1, 2024 | |
| Ydi Irrevocable Trust |
5% Or Greater Indirect Ownership Interest | May 1, 2024 | 50% |
| VA 15 Mezz Borrower II LLC |
Adp of the SNF | May 1, 2024 | |
| Ydi Eastern Holdco LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2024 | 50% |
| Zanziper Family Trust |
Operational/Managerial Control | May 1, 2024 | |
| Northwind Healthcare Debt Fund II Master Reit LP |
5% Or Greater Security Interest | May 1, 2024 | 28% |
| VA 15 Propco Holdco II LLC |
Adp of the SNF | May 1, 2024 | |
| Akiva Shapiro |
Corporate Officer |
May 1, 2024 | |
| Natalie Zanziper |
Adp of the SNF | May 1, 2024 | |
| Deutsche Bank New York Branch |
5% Or Greater Security Interest | May 1, 2024 | 72% |
| VA SNF Propco Holdings II LLC |
Adp of the SNF | May 1, 2024 | |
| JJ United TR |
5% Or Greater Indirect Ownership Interest | May 1, 2024 | 50% |
| Michelle Wombold |
Operational/Managerial Control | May 1, 2024 | |
| Adp of the SNF | Aug 4, 2025 | ||
| HC Family Trust |
Operational/Managerial Control | May 1, 2024 | |
| Yehuda Gittleson |
Operational/Managerial Control | May 1, 2024 | |
| Managing Control - Governing Body |
Dec 28, 2023 | ||
| VA SNF Master Consulting LLC |
Operational/Managerial Control | May 1, 2024 | |
| Adp of the SNF | May 1, 2024 | ||
| Akiva Schonfeld |
Trustee of the SNF | May 1, 2024 | |
| Layla Gittleson |
5% Or Greater Direct Ownership Interest | May 1, 2024 | 1% |
| Trustee of the SNF | May 1, 2024 | ||
| Nechama Sommer |
Corporate Officer | May 1, 2024 | |
| Operational/Managerial Control | May 1, 2024 | ||
| VA SNF Realty Holdings 1 LLC |
Adp of the SNF | May 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240821003958 | VA | Part a Provider - Skilled Nursing Facility | 3476091455 | Practice locations: Newport News, VA |
National Provider Directory
Locations
4 Ridgewood Pkwy
Newport News, VA 23602
Phone (757) 703-4200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
4 Ridgewood Pkwy
Newport News, VA 23602-4415
Mailing address
4 Ridgewood Pkwy
Newport News, VA 23602-4415
Phone (757) 703-4200
Other names
- Old Dominion Rehabilitation and Nursing
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All providers in Newport News, VA · Skilled Nursing Facility in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.