Liberty White Oak Manor HC of Burlington LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LIBERTY WHITE OAK MANOR HC OF BURLINGTON LLC

Doing business as

White Oak Manor - Burlington

Practice address

323 Baldwin Rd
Burlington, NC 27217-2715

Phone

(336) 229-5571

Fax

(336) 229-0964

NPI assigned

Nov 18, 2022

Last updated

Nov 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Purvis

Title

President

Phone

(910) 815-3122

Specialties & licenses 1

Addresses

Other names 1

• White Oak Manor - Burlington Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1346959319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MCNEILL PLZ",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284728602",
            "fax_number": "336-229-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 BALDWIN RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172715",
            "telephone_number": "336-229-5571",
            "fax_number": "336-229-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY WHITE OAK MANOR HC OF BURLINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "PURVIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-815-3122"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "endpointDescription": "Skilled Nursing Facility",
            "address_1": "323 Baldwin Rd",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272172715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "White Oak Manor - Burlington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Burlington, NC
• Providers in Burlington, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.