White Oak Estates Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0134 Issued in IA

Legal business name

WHITE OAK ESTATES INC

Practice address

914 N 12TH St
Oskaloosa, IA 52577-2416

Phone

(641) 673-4443

Fax

(641) 672-2522

NPI assigned

Jul 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Clarice Lee Wright

Title

Vice President

Phone

(641) 673-6886

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053346619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 N 12TH ST",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772416",
            "telephone_number": "641-673-4443",
            "fax_number": "641-672-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N 12TH ST",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772416",
            "telephone_number": "641-673-4443",
            "fax_number": "641-672-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK ESTATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "CLARICE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "641-673-6886",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0447581",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Oskaloosa, IA
• Providers in Oskaloosa, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.