NPIMap

Organization Active NPI

White Oak Manor Tryon Inc

Doing business as White Oak Manor Tryon

  • Skilled Nursing Facility
  • Tryon, NC
National Provider Identifier
1356476311
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0399 Issued in NC
Legal business name
WHITE OAK MANOR TRYON INC
Doing business as
White Oak Manor Tryon
Practice address
70 Oak St
Tryon, NC 28782-3495
Phone
(828) 859-9161
Fax
(828) 859-2073
NPI assigned
Feb 22, 2007
Last updated
Nov 19, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
WHITE OAK MANOR INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0399 NC Primary

Addresses

Primary practice location

70 Oak St
Tryon, NC 28782-3495

Mailing address

70 Oak St
Tryon, NC 28782-3495
Phone (828) 859-9161

Other identifiers 2

IdentifierTypeStateIssuer
3416478MedicaidNC
3415127MedicaidNC

Other names 1

  • White Oak Manor Tryon Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040506001691 NC Part A Provider - Skilled Nursing Facility 8921097841 Practice locations: Tryon, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356476311. Details of each certification follow.

Skilled nursing facility certification: CCN 345127

Legal name
WHITE OAK MANOR TRYON INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 19, 1974
Last certification
Jul 10, 2024
Beds
88 (70 certified)
Ownership / control type
Corporation
Multi-facility organization
NHC
Organization structure
CorporationProprietary
Incorporated
Oct 1, 2002 in NC
Enrollment address
70 Oak St
Tryon, NC 28782-3450

Care Compare: Nursing home

Medicare Care Compare
Listed as
White Oak Manor - TryonCCN 345127 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 19, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7061.0 residents per day on average
Penalties (3 years)
1Fines totaling $16,153

Processed by Care Compare on Aug 1, 2026.

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
34D0248029White Oak Manor-Tryon70 Oak Street, Tryon, NC 28782Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Part of
White Oak Manor Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 8

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeni C Feeser Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 21%
Corporate DirectorBoard Member May 6, 2004 5%
Dorothy D Cecil Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 21%
Corporate DirectorBoard Member May 6, 2004 5%
White Oak Management, Inc. Organization, Spartanburg, SC Management services company Operational/Managerial Control Oct 1, 2002 24%
Jamie Davis Freelin Individual Contracted Managing EmployeeMD; Feb 28, 2024 5%
White Oak Manor Inc Organization, Spartanburg, SC Corporation 5% Or Greater Direct Ownership Interest Oct 1, 2002 100%
Oliver K Cecil Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 18%
Corporate OfficerCeo Oct 1, 2012 5%
Corporate DirectorBoard Member May 6, 2004 5%
Beth C Cecil Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 21%
Corporate DirectorBoard Member May 6, 2004 5%
Douglas M Cecil Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 19%
Corporate OfficerPresident Oct 1, 2012 5%
Corporate DirectorBoard Member May 6, 2004 5%
David J Haney Individual Corporate OfficerVP of Finance Oct 1, 2002 1%
John P Barber Individual Corporate OfficerCfo Oct 1, 2012 5%
Corporate DirectorBoard Member May 6, 2004 5%
Harrison White Cecil Individual W-2 Managing EmployeeAdministrator Jan 5, 2017 25%

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1356476311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 OAK ST",
            "city": "TRYON",
            "state": "NC",
            "postal_code": "287823495",
            "telephone_number": "828-859-9161",
            "fax_number": "828-859-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 OAK ST",
            "city": "TRYON",
            "state": "NC",
            "postal_code": "287823495",
            "telephone_number": "828-859-9161",
            "fax_number": "828-859-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK MANOR TRYON INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITE OAK MANOR INC",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-11-19",
        "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": "NC",
            "license": "NH0399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416478",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415127",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Oak Manor Tryon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tryon, NC

Sources for this page

Verify at the official NPI Registry.