OLD DOMINION REHABILITATION AND NURSING LLC
NPI 1649038381
Skilled Nursing Facility in Newport News, VA

Active since March 07, 2024CLIA 49D0720989 · Waiver
4 RIDGEWOOD PKWY, NEWPORT NEWS, VA 23602(757) 703-4200 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2025, Mar 7, 2024 (2 updates tracked since 2024).

About Old Dominion Rehabilitation And Nursing Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLD DOMINION REHABILITATION AND NURSING LLC (NPI 1649038381), doing business as Old Dominion Rehabilitation And Nursing, is a healthcare organization registered as a skilled nursing facility in Newport News, Virginia and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through July 5, 2028 and lists Akiva Shapiro, Coo, as its authorized official.

NPPES Registry Identity

NPI1649038381
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameOLD DOMINION REHABILITATION AND NURSING LLC
Location Address4 RIDGEWOOD PKWYNewport News, VA 23602-4415
Mailing Address4 Ridgewood PkwyNewport News, VA 23602-4415 · (757) 703-4200
Organization SubpartNo
Authorized OfficialAkiva ShapiroCoo · (201) 581-6622
Enumeration DateMarch 7, 2024
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
NPI 1649038381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
4 RIDGEWOOD PKWY, Newport News, VA 23602

Other Names 1

Doing Business AsOld Dominion Rehabilitation And Nursing

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0720989

Old Dominion Rehabilitation And Nursing LLC · Newport News, VA
Active · expires Jul 5, 2028
CLIA Number49D0720989
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 6, 2026
Certificate Expiration DateJuly 5, 2028
Laboratory DirectorAmir Hajimomenian
Laboratory Phone(757) 703-4200
Laboratory LocationOld Dominion Rehabilitation And Nursing LLC4 Ridgewood Parkway, Newport News, VA 23602
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
4 RIDGEWOOD PKWY
NEWPORT NEWS, VA 23602
Skilled Nursing Facility
4 RIDGEWOOD PKWY
NEWPORT NEWS, VA 23602
Physical Therapy Assistant
4 RIDGEWOOD PKWY
NEWPORT NEWS, VA 23602
Skilled Nursing Facility
4 RIDGEWOOD PKWY
NEWPORT NEWS, VA 23602
Skilled Nursing Facility
4 RIDGEWOOD PKWY
NEWPORT NEWS, VA 23602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Old Dominion Rehabilitation And Nursing LLC's NPI number?

The NPI number for Old Dominion Rehabilitation And Nursing LLC is 1649038381. It was assigned to this organization in the NPPES registry on March 7, 2024. The provider is doing business as Old Dominion Rehabilitation and Nursing.

Where is Old Dominion Rehabilitation And Nursing LLC located?

Old Dominion Rehabilitation And Nursing LLC is located at 4 Ridgewood Pkwy, Newport News, VA 23602. The listed phone number is (757) 703-4200.

What is Old Dominion Rehabilitation And Nursing LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Old Dominion Rehabilitation And Nursing LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0720989) is associated with this NPI, valid through July 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Old Dominion Rehabilitation And Nursing LLC was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.