White Oaks Retirement Residence, Inc
Organization Active NPI Assisted Living Facility · Lawton, MI
NPI 1003244773 · NPPES record last updated Oct 16, 2013
Key facts
- NPI
- 1003244773
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- AL800315841 (MI)
- Legal business name
- WHITE OAKS RETIREMENT RESIDENCE, INC
- Practice address
- 300 White Oak Rd
Lawton, MI 49065-9541 - Phone
- (269) 624-4811
- NPI assigned
- Oct 16, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Charles Randall
- Title
- Owner
- Phone
- (269) 624-4841
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2083678 | White Oaks Assisted Living | Certificate of waiver | Oct 14, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL800315841 | MI | Yes |
| Alzheimer Center (Dementia Center) | 311500000X | AL800315839 | MI |
Addresses
Primary practice location
300 White Oak Rd
Lawton, MI 49065-9541
Mailing address
300 White Oak Rd
Lawton, MI 49065-9541
Phone (269) 624-4811
Other names
- White Oaks Assisted Living
Other providers in Lawton, MI
All providers in Lawton, MI · Assisted Living Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.