Old Dominion Home Care,Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-09523 Issued in VA

Legal business name

OLD DOMINION HOME CARE,INC.

Practice address

10366 Democracy LN Ste C
Fairfax, VA 22030-2530

Phone

(703) 273-0422

Fax

(703) 273-0423

NPI assigned

Jan 9, 2009

Last updated

Jan 9, 2009By 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. Kenneth Raymond Augst III

Title

President

Phone

(703) 273-0422

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1780821967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10366 DEMOCRACY LN STE C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302530",
            "telephone_number": "703-273-0422",
            "fax_number": "703-273-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10366 DEMOCRACY LN STE C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302530",
            "telephone_number": "703-273-0422",
            "fax_number": "703-273-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD DOMINION HOME CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "AUGST",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-273-0422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-09523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nkiru Okonkwo, RPH
• Ugochi Okoroafor-Ridgway, MD
• Vickie Okoye, M.S.W.
• Yaa Gyamfua Okrah
• Christiana O Olabanji
• Ifeanyi Michael Olele, D.O
• Julian Oley
• Jaqueline Oliveira Baroni, LMHC, LPC
• Emily Oliver
• Kathryn Oliver, FNP-BC

• Home Health Agency in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.