White Oaks Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WHITE OAKS ASSISTED LIVING

Practice address

140 Professional Place White Oaks
Bridgeport, WV 26330

Phone

(304) 685-7211

NPI assigned

Jan 8, 2018

Organization subpart

No

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

Authorized official

Name

Mr. John Manchin III

Title

Owner

Phone

(304) 290-1526

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1275040685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PROFESSIONAL PLACE WHITE OAKS",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "26330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PROFESSIONAL PLACE WHITE OAKS",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "26330",
            "telephone_number": "304-685-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAKS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "MANCHIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-290-1526",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Virginia CVS Pharmacy LLC (Target Pharmacy)
• West Virginia University Medical Corporation (WVU Obstetrics & Gynecology-Bridgeport)
• Brittanie West, DO
• Jody Linn Westfall
• Michelle Lee Wetzel, MA
• Damien Hunter White, DC
• Danielle White
• Lisa White
• Nichole White, SLP
• Levi Dean Wichterman, NP-C

• Assisted Living Facility in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Assisted Living Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.