Dominion Outreach Care, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

DOMINION OUTREACH CARE, LLC

Practice address

5514 Longleaf Dr
Richmond, TX 77469-9456

Phone

(413) 627-7192

Fax

(866) 472-1997

NPI assigned

Feb 13, 2023

Last updated

Feb 13, 2023By 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

Rita Nwokoye, RN

Title

Manager

Phone

(413) 627-7192

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1689371361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 LONGLEAF DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774699456",
            "telephone_number": "413-627-7192",
            "fax_number": "866-472-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 LONGLEAF DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774699456",
            "telephone_number": "413-627-7192",
            "fax_number": "866-472-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION OUTREACH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "NWOKOYE",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "413-627-7192",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip T Doan, OD
• Amber Patrice Dobyne, M.D.
• Camille Dolcee
• Atinuke Anthonia Domingo
• Victor Dominguez
• Gail E Donley-Urita, MD
• Dorathy Caregivers LLC
• Cody James Dornak, DPT
• Mekiela Dorough, MS, LPC
• Dorsey Behavioral Health Spiritual Healing PLLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Richmond, TX
• Providers in Richmond, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.