Five Oaks Manor LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0027 Issued in NC

Legal business name

FIVE OAKS MANOR LLC

Practice address

413 Winecoff School Road
Concord, NC 28027-4175

Phone

(704) 788-2131

Fax

(704) 786-1557

NPI assigned

Oct 3, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Robert E Kneeland, NHA

Title

Nursing Home Administrator

Phone

(704) 788-2131

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1417944752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 WINECOFF SCHOOL ROAD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280274175",
            "telephone_number": "704-788-2131",
            "fax_number": "704-786-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 WINECOFF SCHOOL ROAD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280274175",
            "telephone_number": "704-788-2131",
            "fax_number": "704-786-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE OAKS MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "KNEELAND",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "704-788-2131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "NH0027",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415186",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416170",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Firstclass Behavior Services Corp
• Sarah Fisenne-Chrones, OTR/L, OTD
• Stephanie McGowan Fish, MA, CCC-SLP
• Fishback Psychological Services, P.C.
• Andrea Marie Fitzgerald, DO
• Five Oaks SNF Operations LLC
• Melinda Fladd
• Ryan Flaherty
• Jessica Lee Flanigan, PA-C
• Priscilla Fleming, LICENSED MASSAGE THE

• Skilled Nursing Facility in Concord, NC
• Providers in Concord, 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 Oct 25, 2007; 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.