Dominion Resource Center LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DOMINION RESOURCE CENTER LLC

Practice address

6700 S Florida Ave Ste 9
Lakeland, FL 33813-3310

Phone

(863) 940-2910

Fax

(863) 940-2979

NPI assigned

Sep 20, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Folake Oluyemisi BamigbadeNPI 1558608372

Title

President

Phone

(813) 474-8516

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 687259

Legal name

DOMINION RESOURCE CENTER LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 11, 2023

Last certification

May 11, 2023

Organization structure

LLCProprietary

Enrollment address

6700 S Florida Ave
Unit 9
Lakeland, FL 33813-3310

Listed as

Dominion Resource Center LLCCCN 687259

Ownership

-

Certified

May 11, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

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

• Folake Oluyemisi Bamigbade, PROGRAM MANAGER

  • Contractor
  • Austin, TX
  • NPI 1558608372
  NPD Authorized official

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1982374948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 S FLORIDA AVE STE 9",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133310",
            "telephone_number": "813-474-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 S FLORIDA AVE STE 9",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133310",
            "telephone_number": "863-940-2910",
            "fax_number": "863-940-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION RESOURCE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "BAMIGBADE",
        "authorized_official_first_name": "FOLAKE",
        "authorized_official_middle_name": "OLUYEMISI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-474-8516",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James F. Doebele, MD
• Dominick R Dolecki, BDS
• Indya Carroll Dollison
• Karen Doly, APRN
• Rachel Dominguez
• Carmela Concepcion Canivel Dominise, RPT
• Virgil Dominise
• Maurice Donaldson
• Ramesh Donepudi, MD, MRCP
• Barbara Donley, APRN

• Home Health Agency in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.