NPIMap

Organization Active NPI

White Oak Manor Rutherfordton Inc

Doing business as White Oak Manor Rutherfordton

  • Skilled Nursing Facility
  • Rutherfordton, NC
National Provider Identifier
1639204282
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0153 Issued in NC
Legal business name
WHITE OAK MANOR RUTHERFORDTON INC
Doing business as
White Oak Manor Rutherfordton
Practice address
188 Oscar Justice Rd
Rutherfordton, NC 28139-8110
Phone
(828) 286-9001
Fax
(828) 286-9070
NPI assigned
Feb 23, 2007
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 NH0153 NC Primary

Addresses

Primary practice location

188 Oscar Justice Rd
Rutherfordton, NC 28139-8110

Mailing address

188 Oscar Justice Rd
Rutherfordton, NC 28139-8110
Phone (828) 286-9001

Other identifiers 2

IdentifierTypeStateIssuer
3415083MedicaidNC
3416546MedicaidNC

Other names 1

  • White Oak Manor Rutherfordton Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1639204282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 OSCAR JUSTICE RD",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281398110",
            "telephone_number": "828-286-9001",
            "fax_number": "828-286-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 OSCAR JUSTICE RD",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281398110",
            "telephone_number": "828-286-9001",
            "fax_number": "828-286-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK MANOR RUTHERFORDTON INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITE OAK MANOR INC",
        "enumeration_date": "2007-02-23",
        "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": "NH0153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415083",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416546",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Oak Manor Rutherfordton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rutherfordton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.