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10 OLD DOMINION OPERATIONS, LLC
NPI 1679132252
Assisted Living Facility in Cumberland, RI

Active since June 07, 2019CLIA 41D0973532 · Waiver
10 OLD DIAMOND HILL RD, CUMBERLAND, RI 02864(410) 333-3393 Get Directions Write a Review

NPPES record last updated: June 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 10 Old Dominion Operations, Llc NPPES

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

10 OLD DOMINION OPERATIONS, LLC (NPI 1679132252) is a healthcare organization registered as an assisted living facility in Cumberland, Rhode Island and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through May 8, 2028 and lists Henry J Vaughn, Reimbursement Analyst, as its authorized official.

NPPES Registry Identity

NPI1679132252
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business Name10 OLD DOMINION OPERATIONS, LLC
Location Address10 OLD DIAMOND HILL RDCumberland, RI 02864-4611
Mailing Address10 Old Diamond Hill RdCumberland, RI 02864-4611 · (410) 333-3393
Phone(410) 333-3393
Organization SubpartNo
Authorized OfficialHenry J VaughnReimbursement Analyst · (240) 595-6025
Enumeration DateJune 7, 2019
✔ NPI 1679132252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
10 OLD DIAMOND HILL RD, Cumberland, RI 02864
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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 41D0973532

10 Old Dominion Operations, LLC Dba Chapel Hill Senior Living · Cumberland, RI
Active · expires May 8, 2028
CLIA Number41D0973532
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 9, 2026
Certificate Expiration DateMay 8, 2028
Laboratory DirectorCourtney A. Fisher
Laboratory Phone(401) 333-3393
Laboratory Location10 Old Dominion Operations, LLC Dba Chapel Hill Senior Living10 Old Diamond Hill Rd, Cumberland, RI 02864
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MSA CHAPEL HILL OPERATING, LLC
Assisted Living Facility
10 OLD DIAMOND HILL RD
CUMBERLAND, RI 02864
Providence County (401) 333-3393

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 10 Old Dominion Operations, LLC's NPI number?

The NPI number for 10 Old Dominion Operations, LLC is 1679132252. It was assigned to this organization in the NPPES registry on June 7, 2019.

Where is 10 Old Dominion Operations, LLC located?

10 Old Dominion Operations, LLC is located at 10 Old Diamond Hill Rd, Cumberland, RI 02864. The listed phone number is (410) 333-3393.

What is 10 Old Dominion Operations, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does 10 Old Dominion Operations, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D0973532) is associated with this NPI, valid through May 8, 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 10 Old Dominion Operations, LLC was last updated on June 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.