Active NPI
White Oak Manor Inc
- Skilled Nursing Facility
- Spartanburg, SC
National Provider Identifier
1245375419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NCF-889
- Legal business name
- WHITE OAK MANOR INC
- Practice address
- 295 E Pearl St
Spartanburg, SC 29303-3606 - Phone
- (864) 585-0241
- Fax
- (864) 585-8778
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Joe Haney
- Title
- VP Finance
- Phone
- (864) 327-1162
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NCF-889 | SC | Primary |
Addresses
Primary practice location
295 E Pearl St
Spartanburg, SC 29303-3606
Mailing address
PO Box 3347
Spartanburg, SC 29304-3347
Phone (864) 585-0241
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0460NH | Medicaid | SC | |
| 5288290001 | Other | SC | NSC MEDICARE ID-PTAN |
Other names 1
- White Oak Manor Spartanburg
National Provider Directory
National Provider DirectoryMember of 6
Organizations this organization is a member of, according to the National Provider Directory.
-
- Skilled Nursing Facility
- Kings Mountain, NC
- NPI 1033244090
Member Of
-
- Skilled Nursing Facility
- Rutherfordton, NC
- NPI 1639204282
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225843200000",
"number": "1245375419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3347",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293043347",
"telephone_number": "864-585-0241",
"fax_number": "864-585-8778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 E PEARL ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033606",
"telephone_number": "864-585-0241",
"fax_number": "864-585-8778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE OAK MANOR INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2008-11-05",
"status": "A",
"authorized_official_last_name": "HANEY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "JOE",
"authorized_official_title_or_position": "VP FINANCE",
"authorized_official_telephone_number": "864-327-1162",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "SC",
"license": "NCF-889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0460NH",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSC MEDICARE ID-PTAN",
"identifier": "5288290001",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "White Oak Manor Spartanburg",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.