Newport News VA Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NEWPORT NEWS VA OPCO 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

Jun 1, 2021

Last updated

Jun 22, 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

Batya Goreclick

Title

Coo

Phone

(757) 703-4200

Specialties & licenses 2

Addresses

Other names 1

• Old Dominion Rehabilitation and Nursing Doing business as

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1942876982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 SYLVAN AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323301"
        },
        {
            "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": "NEWPORT NEWS VA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "GORECLICK",
        "authorized_official_first_name": "BATYA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "757-703-4200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Dominion Rehabilitation and Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Newport News Public School
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• Newport Operator LLC (Newport Post Acute)
• Charlene Newsome, CPRS, QMHP
• Gabrielle Newsome, RN
• Janice May Newsome, MD
• Monique Yvette Newsome, LCSW

• Skilled Nursing Facility in Newport News, VA
• Providers in Newport News, VA by specialty
• Skilled Nursing Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.