NPIMap

Organization Active NPI

White Oak Manor, Inc

  • Skilled Nursing Facility
  • Spartanburg, SC
National Provider Identifier
1467993030
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NOT YET ISSUED Issued in SC
Legal business name
WHITE OAK MANOR, INC
Practice address
290 North Grove Medical Park Drive
Spartanburg, SC 29303-4222
Phone
(864) 345-1700
NPI assigned
Mar 16, 2017
Last updated
Mar 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Mr. David Joe Haney
Title
Vice President of Finance
Phone
(864) 582-7503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NOT YET ISSUED SC Primary

Addresses

Primary practice location

290 North Grove Medical Park Drive
Spartanburg, SC 29303-4222

Mailing address

290 North Grove Medical Park Drive
Spartanburg, SC 29303-4222
Phone (864) 345-1700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170428001282 SC Part A Provider - Skilled Nursing Facility 3173511458 Practice locations: Spartanburg, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467993030. Details of each certification follow.

Skilled nursing facility certification: CCN 425408

Legal name
WHITE OAK MANOR INC
Doing business as
WHITE OAK AT NORTH GROVE INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 4, 2017
Last certification
May 15, 2025
Beds
132
Ownership / control type
Corporation
Multi-facility organization
National Healthcare Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 1, 1990 in SC
Enrollment address
290 N Grove Medical Park Dr
Spartanburg, SC 29303-4222

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
White Oak At North Grove IncCCN 425408 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 4, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
132127.7 residents per day on average
Penalties (3 years)
2Fines totaling $25,164

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

130 E Main St
Spartanburg, SC 29306
Phone (864) 327-1162

290 North Grove Medical Park Dr
Spartanburg, SC 29303
Phone (864) 345-1700

295 E Pearl St
Spartanburg, SC 29303
Phone (864) 585-0241

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 Oct 1, 2002 5%
Dorothy D Cecil Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 21%
Corporate DirectorBoard Member Oct 1, 2002 5%
White Oak Management, Inc. Organization, Spartanburg, SC Management services company Operational/Managerial Control Mar 2, 2015 24%
White Oak Manor Inc Organization, Spartanburg, SC Corporation 5% Or Greater Direct Ownership Interest Mar 2, 2015 100%
Oliver K Cecil Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 18%
Corporate OfficerCeo Oct 1, 2002 5%
Corporate DirectorBoard Member Oct 1, 2002 5%
Beth C Cecil Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 21%
Corporate DirectorBoard Member Oct 1, 2002 5%
Douglas M Cecil Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 19%
Corporate OfficerPresident Oct 1, 2002 5%
Corporate DirectorBoard Member Oct 1, 2002 5%
David J Haney Individual Corporate OfficerVP of Finance Oct 1, 2002 1%
Katee E Castleman Individual Contracted Managing EmployeeMedical Director Feb 28, 2024 5%
John P Barber Individual Corporate OfficerCfo Oct 1, 2002 5%
Corporate DirectorBoard Member Oct 1, 2002 5%
Andy Nelson Individual W-2 Managing EmployeeAdministrator Mar 16, 2017 25%

Owners & managing parties with NPI records 6

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

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
White Oak Manor Tryon IncTryon, NC, CCN 345127 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2002
White Oak Manor Kings Mountain Inc.Kings MTN, NC, CCN 345151 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2002
White Oak Manor Charlotte IncCharlotte, NC, CCN 345238 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2002
White Oak EstatesSpartanburg, SC, CCN 425290 Skilled nursing facility 5% Or Greater Direct Ownership Interest Nov 16, 2009
White Oak of WaxhawWaxhaw, NC, CCN 345550 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 25, 2010
White Oak Manor LancasterLancaster, SC, CCN 425017 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2002
White Oak Manor Rock HillRock Hill, SC, CCN 425088 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2002
White Oak Manor ColumbiaColumbia, SC, CCN 425068 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2002
White Oak Manor NewberryNewberry, SC, CCN 425077 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2002

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 2

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": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1467993030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 NORTH GROVE MEDICAL PARK DRIVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034222",
            "telephone_number": "864-345-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 NORTH GROVE MEDICAL PARK DRIVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034222",
            "telephone_number": "864-345-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "864-582-7503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NOT YET ISSUED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.