DOMINION SERVICES (NPI# 1306080650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306080650 |
| Entity Type | Organization |
| Organization Name | DOMINION SERVICES |
| Practice Address |
1930 Fort Bragg Rd Fayetteville NC 28303-6806 |
| Practice Telephone | 9105270890 |
| Mailing Telephone | 9105270890 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |
| Authorized Official Name | MRS. TONI GRESSETT (DIRECTOR) |
| Authorized Official Telephone | 9105270890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6601303 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DOMINION SERVICES GROUP LLC | 1100 Athens Ave Ste F, Richmond, Virginia 23227 |
| Virginia Business Entities | DOMINION SERVICES INC. | 7463 Rosewood Manor Ln, Gaithersburg, Maryland 20882 |
| Colorado Business Entities | Dominion Services LLC | 3812 Harbor Ln, Evans, CO 80620-9596 |
| Virginia Business Entities | Dominion Services of Virginia LLC | 2831 Essex Mill Rd, Po Box 1485, Dunnsville, Virginia 22454 |
| Massachusetts Corporations | DOMINION SERVICES, INC. | 58 Holmes St., Needham, MA 02492 |
| Street Address |
1930 FORT BRAGG RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-6806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394581 | Tori Treadway | Technician | 226 Jenkins Fork Crossing Rd, Fayetteville, WV 25840-8202 | 2020-10-22 |
| 1225635832 | Shannon West | Technician | 252 Bachman Rd, Fayetteville, WV 25840-5994 | 2020-10-06 |
| 1154931624 | Mary Ann Neal | Technician | 8 Burnside Ln, Fayetteville, WV 25840-6174 | 2020-08-08 |
| 1447766639 | Nancy Carol Myles | Technician | 171 Wood Rd, Fayetteville, WV 25840 | 2017-12-26 |
| 1134363856 | Teressa Michaune Munn | Technician | 421 Maiden Ln, Suite 218, Fayetteville, NC 28301-5055 | 2009-04-24 |
| 1902056690 | Making Visions Come True Pllc | Technician | 2018 Fort Bragg Rd Ste. 126b, Fayetteville, NC 28303-7040 | 2008-09-30 |
| 1285801746 | Toni Gressett | Technician | 5329 Ramsey Street, #19, Fayetteville, NC 28311-1331 | 2008-05-14 |
| 1760654834 | Making Visions Come True Pllc | Technician | 2018 Fort Bragg Rd Ste 126b, Fayetteville, NC 28303-7040 | 2008-03-29 |
| 1437347747 | Native Angels Home Care Agency Inc | Technician | 2008 Litho Pl, Fayetteville, NC 28304-2518 | 2007-10-11 |
| 1558482463 | Ambassadors Home Care Services, Inc | Technician | 1104 Hope Mills Rd, Suite B, Fayetteville, NC 28304-4247 | 2007-04-02 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on DOMINION SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.