Organization
OLD DOMINION HOME HEALTH SERVICES
Active
Other names
OLD DOMINION SUPPLY AND EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ISABELLE HILLIARD RN (PRESIDENT/CEO)
(804) 745-5133
Entity
Organization
Contact information
Practice address
8014 MIDLOTHIAN TPKE, SUITE 200, RICHMOND, VA 23235-5291
(804) 745-5133
(804) 745-5526
Mailing address
8014 MIDLOTHIAN TPKE, SUITE 200, RICHMOND, VA 23235-5291
(804) 745-5133
(804) 745-5526
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
608
VA
332B00000X
Durable Medical Equipment & Medical Supplies
0206008463
VA
Other
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
Enumeration date
08/27/2006
Last updated
05/23/2012
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