# OLD DOMINION HOME HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OLD DOMINION SUPPLY AND EQUIPMENT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982712295
- **Authorized official:** MS. ISABELLE HILLIARD RN (PRESIDENT/CEO)
- **Authorized official phone:** (804) 745-5133

## Contact information

- **Practice address:** 8014 MIDLOTHIAN TPKE, SUITE 200, RICHMOND, VA 23235-5291
- **Practice address phone:** (804) 745-5133
- **Practice address fax:** (804) 745-5526
- **Mailing address:** 8014 MIDLOTHIAN TPKE, SUITE 200, RICHMOND, VA 23235-5291
- **Mailing address phone:** (804) 745-5133
- **Mailing address fax:** (804) 745-5526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 608 | VA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0206008463 | VA | — |

## Other

- **Enumeration date:** 08/27/2006
- **Last updated:** 05/23/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0007049182 | AETNA HOME HEALTH | VA |
| 05 | — | 004947762 | — | VA |
| 05 | — | 004974683 | — | VA |
| 05 | — | 008700206 | — | VA |
| 05 | — | 008704414 | — | VA |
| 05 | — | 008751242 | — | VA |
| 05 | — | 008772096 | — | VA |
| 05 | — | 008773351 | — | VA |
| 05 | — | 009116982 | — | VA |
| 05 | — | 010104076 | — | VA |
| 01 | — | 1018807 | ACM HOME HEALTH | VA |
| 01 | — | 1018808 | ACM HOME HEALTH | VA |
| 01 | — | 204160 | SOUTHERN HEALTH | VA |
| 01 | — | 227295 | ANTHEM HOME HEALTH | VA |
| 01 | — | 280760 | SOUTHERN HEALTH | VA |
| 01 | — | 286831 | DME ANTHEM | VA |