NPIMap

Organization Active NPI

Warren Operations LLC

  • Skilled Nursing Facility
  • Warren, OH
National Provider Identifier
1144968512
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WARREN OPERATIONS LLC
Practice address
1926 Ridge Ave SE
Warren, OH 44484-2821
Phone
(330) 369-4672
NPI assigned
May 25, 2022
Last updated
May 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Brad J. Gold
Title
Manager
Phone
(310) 383-1792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1926 Ridge Ave SE
Warren, OH 44484-2821

Mailing address

132 E Delaware PL Apt 6102
Chicago, IL 60611-4954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220815001168 OH Part A Provider - Skilled Nursing Facility 5799168373 Practice locations: Warren, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144968512. Details of each certification follow.

Skilled nursing facility certification: CCN 365748

Legal name
WARREN OPERATIONS LLC
Doing business as
WHITE OAK MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 31, 1989
Last certification
May 8, 2025
Beds
52
Ownership / control type
Corporation
Multi-facility organization
Embassy Healthcare
Organization structure
LLCProprietary
Incorporated
Mar 15, 2022 in DE
Enrollment address
1926 Ridge Ave SE
Warren, OH 44484-2821
Nursing home name
WHITE OAK MANOR

Care Compare: Nursing home

Medicare Care Compare
Listed as
White Oak ManorCCN 365748 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 31, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5228.6 residents per day on average
Penalties (3 years)
1Fines totaling $3,282

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kent C Haeger Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2022 5.58%
Brad Gold Individual Corporate OfficerManager Jun 1, 2022
W-2 Managing EmployeeManager Jun 1, 2022
Operational/Managerial Control Jun 1, 2022
OtherTrustee of Lions Pride Trust Uad Jun 1, 2022
Lions Pride Trust U/a/D 09/30/2009 Organization, Warren, OH 5% Or Greater Indirect Ownership Interest Jun 1, 2022 94.41%
Warren Associates Limited Partnership Organization, Warren, OH 5% Or Greater Direct Ownership Interest Jun 1, 2022 100%
Embassy Healthcare Management Inc Organization, Beachwood, OH Corporation, Management services company Operational/Managerial Control Jun 1, 2022

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 19

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1144968512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E DELAWARE PL APT 6102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 RIDGE AVE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842821",
            "telephone_number": "330-369-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-383-1792"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.