White Oak Village, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WHITE OAK VILLAGE, LLC

Practice address

14715 NE 20TH Ave
Vancouver, WA 98686-1453

Phone

(360) 360-0687

NPI assigned

Feb 20, 2025

Organization subpart

No

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

Authorized official

Name

January E Zeeb

Title

Accounts Receivable Manager

Phone

(503) 391-9999

Specialties & licenses 1

Addresses

Other names 1

• White Oak Village Memory Care Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1356147334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HAWTHORNE AVE SE STE 210",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015895",
            "telephone_number": "503-391-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14715 NE 20TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986861453",
            "telephone_number": "360-360-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK VILLAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "ZEEB",
        "authorized_official_first_name": "JANUARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "503-391-9999"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Oak Village Memory Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "White Oak Village Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whipple Creek Senior Estate, LLC
• Whipple Creek Wellness Incorporated
• Gordon David Whisner
• Steve Whitaker, DPT
• Stephanie Lynn Whitchurch, L.AC.,M.AC.O.M.
• Sinjin White-Juker
• Charlotte E White, FNP-BC
• Derrik White
• Hannah Elizabeth White, CBT
• Jana White

• Assisted Living Facility in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.