NPIMap

Organization Active NPI

Old Dominion Rehabilitation and Nursing LLC

Doing business as Old Dominion Rehabilitation and Nursing

  • Skilled Nursing Facility
  • Newport News, VA
National Provider Identifier
1649038381
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OLD DOMINION REHABILITATION AND NURSING LLC
Doing business as
Old Dominion Rehabilitation and Nursing
Practice address
4 Ridgewood Pkwy
Newport News, VA 23602-4415
Phone
(757) 703-4200
NPI assigned
Mar 7, 2024
Last updated
Aug 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Akiva Shapiro
Title
Coo
Phone
(201) 581-6622

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X Primary

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 1

  • Old Dominion Rehabilitation and Nursing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240821003958 VA Part A Provider - Skilled Nursing Facility 3476091455 Practice locations: Newport News, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649038381. Details of each certification follow.

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
LLCProprietary
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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Old Dominion Rehabilitation and NursingCCN 495204 · All quality measures
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
ActiveFrom the Provider of Services file
Certified beds
115103.9 residents per day on average
Chain
Eastern Healthcare Group18 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $368,040

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
VA SNF Operations Holdings LLC Organization, Montvale, NJ LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest May 1, 2024 100%
Rachel Hyman Individual Trustee of the SNF May 1, 2024
Old Dominion Propco LLC Organization, Englewood Cliffs, NJ LLC Adp of the SNF May 1, 2024
Amir Hajimomenian Individual Corporate DirectorMedical Director May 1, 2024
Ydi Irrevocable Trust Organization, Clifton, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2024 50%
VA 15 Mezz Borrower II LLC Organization, Clifton, NE LLC, Holding company Adp of the SNF May 1, 2024
Ydi Eastern Holdco LLC Organization, Montvale, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2024 50%
Zanziper Family Trust Organization, Englewood Cliffs, NJ Operational/Managerial Control May 1, 2024
Northwind Healthcare Debt Fund II Master Reit LP Organization, New York, NY Financial institution 5% Or Greater Security Interest May 1, 2024 28%
VA 15 Propco Holdco II LLC Organization, Clifton, NJ LLC Adp of the SNF May 1, 2024
Akiva Shapiro Individual Corporate OfficerCoo May 1, 2024
Natalie Zanziper Individual Adp of the SNF May 1, 2024
Deutsche Bank New York Branch Organization, New York, NY Corporation, Financial institution 5% Or Greater Security Interest May 1, 2024 72%
VA SNF Propco Holdings II LLC Organization, Englewood Cliffs, NJ LLC, Holding company Adp of the SNF May 1, 2024
JJ United TR Organization, Clifton, NJ For-profit 5% Or Greater Indirect Ownership Interest May 1, 2024 50%
Michelle Wombold Individual Operational/Managerial Control May 1, 2024
Adp of the SNF Aug 4, 2025
HC Family Trust Organization, Englewood Cliffs, NJ Operational/Managerial Control May 1, 2024
Yehuda Gittleson Individual Operational/Managerial Control May 1, 2024
Managing Control - Governing BodyManager Dec 28, 2023
VA SNF Master Consulting LLC Organization, Newport News, VA LLC, Consulting firm Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Akiva Schonfeld Individual Trustee of the SNF May 1, 2024
Layla Gittleson Individual 5% Or Greater Direct Ownership Interest May 1, 2024 1%
Trustee of the SNF May 1, 2024
Nechama Sommer Individual Corporate Officer May 1, 2024
Operational/Managerial Control May 1, 2024
VA SNF Realty Holdings 1 LLC Organization, Clifton, NJ LLC, Holding company Adp of the SNF May 1, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 78

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1649038381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RIDGEWOOD PKWY",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024415",
            "telephone_number": "757-703-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RIDGEWOOD PKWY",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024415",
            "telephone_number": "757-703-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD DOMINION REHABILITATION AND NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "AKIVA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "201-581-6622"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Dominion Rehabilitation and Nursing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Old Dominion Rehabilitation and Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.