10 Old Dominion Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

10 OLD DOMINION OPERATIONS, LLC

Practice address

10 Old Diamond Hill Rd
Cumberland, RI 02864-4611

Phone

(410) 333-3393

NPI assigned

Jun 7, 2019

Last updated

Jun 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Henry J Vaughn

Title

Reimbursement Analyst

Phone

(240) 595-6025

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1679132252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OLD DIAMOND HILL RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028644611",
            "telephone_number": "410-333-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OLD DIAMOND HILL RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028644611",
            "telephone_number": "410-333-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "10 OLD DOMINION OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REIMBURSEMENT ANALYST",
        "authorized_official_telephone_number": "240-595-6025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Cumberland, RI
• Providers in Cumberland, RI by specialty
• Assisted Living Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.