Organization Active NPI

Dominion Healthcare Resources, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Midlothian, VA
National Provider Identifier
1760577159
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0206009327 Issued in VA
Legal business name
DOMINION HEALTHCARE RESOURCES, INC.
Practice address
1811 Huguenot Rd Ste C308
Midlothian, VA 23113-5600
Phone
(804) 794-0708
Fax
(804) 794-0906
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Mr. Sue Kay
Title
Senior Vice President
Phone
(770) 316-3685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0206009327 VA Primary

Addresses

Primary practice location

1811 Huguenot Rd Ste C308
Midlothian, VA 23113-5600

Mailing address

PO Box 922576
Norcross, GA 30010-2576
Phone (866) 449-4784

Other identifiers 1

IdentifierTypeStateIssuer
010196990MedicaidVA

Other names 1

  • Neb Doctors of VA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930046514 VA DME Supplier - Medical Supply Company 5698976819 Practice locations: Midlothian, VA

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dominion Healthcare Resources, Inc.1811 Huguenot Rd, Midlothian, VA 23113-5600(804) 794-0708 Ultraviolet Light Devices and/or Supplies|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 2007

National Provider Directory

National Provider Directory

Locations

1811 Huguenot Rd
Ste C308
Midlothian, VA 23113
Phone (804) 794-0708

13817 Village Mill Dr
Ste K
Midlothian, VA 23114
Phone (757) 725-0612

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1760577159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 922576",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300102576",
            "telephone_number": "866-449-4784",
            "fax_number": "888-835-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 HUGUENOT RD STE C308",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231135600",
            "telephone_number": "804-794-0708",
            "fax_number": "804-794-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION HEALTHCARE RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "770-316-3685",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0206009327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010196990",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neb Doctors of VA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.