Organization Active NPI

Harmony at White Oaks

  • Assisted Living Facility
  • Bridgeport, WV
National Provider Identifier
1225942055
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HARMONY AT WHITE OAKS
Practice address
2025 White Oaks Blvd
Bridgeport, WV 26330-5402
Phone
(304) 933-6640
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Jason Dynak
Title
Licensing Coordinator
Phone
(843) 793-2551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

2025 White Oaks Blvd
Bridgeport, WV 26330-5402

Mailing address

4423 Pheasant Ridge Rd Ste 201
Roanoke, VA 24014-5300
Phone (540) 774-7762

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2171927Harmony at White Oaks2025 White Oaks Blvd, Bridgeport, WV 26330Certificate of waiverSep 10, 2027

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1225942055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 PHEASANT RIDGE RD STE 201",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240145300",
            "telephone_number": "540-774-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 WHITE OAKS BLVD",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263305402",
            "telephone_number": "304-933-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY AT WHITE OAKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "DYNAK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "LICENSING COORDINATOR",
        "authorized_official_telephone_number": "843-793-2551"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.

Verify at the official NPI Registry.