Organization · Type 2 NPI

Old Dominion Rehabilitation and Nursing LLC

Skilled Nursing Facility · Newport News, VA

NPI number 1649038381 Active

Practice location

4 Ridgewood Pkwy
Newport News, VA 23602-4415

Specialties and licenses

Taxonomy	Code	License
Nursing Facility/Intermediate Care Facility	313M00000X	None listed
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (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 r…

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NPI record

NPI: 1649038381
Entity type: Organization (Type 2)
Issued: Mar 7, 2024
Last updated: Aug 6, 2025
Status: Active

Other names

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Old Dominion Rehabilitation and Nursing · doing business as
Old Dominion Rehabilitation and Nursing · doing business as

Authorized official

Akiva Shapiro
COO
(201) 581-6622

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1649038381

Old Dominion Rehabilitation and Nursing LLC's National Provider Identifier is 1649038381, issued on Mar 7, 2024. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Newport News, VA. The record was last updated on Aug 6, 2025.