Organization Active NPI

White Oak Home Care LLC

  • Home Health Agency
  • Crown Point, IN
National Provider Identifier
1639822216
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WHITE OAK HOME CARE LLC
Practice address
9800 Connecticut Dr
Crown Point, IN 46307-7840
Phone
(219) 237-9563
NPI assigned
Feb 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Roberto MorenoNPI 1073275368
Title
Member of LLC
Phone
(773) 576-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Adult CompanionGroup: 193400000X SINGLE SPECIALTY GROUP 372600000X

Addresses

Primary practice location

9800 Connecticut Dr
Crown Point, IN 46307-7840

Mailing address

9800 Connecticut Dr
Crown Point, IN 46307-7840
Phone (219) 999-5869

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1639822216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 CONNECTICUT DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077840",
            "telephone_number": "219-999-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 CONNECTICUT DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077840",
            "telephone_number": "219-237-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "MEMBER OF LLC",
        "authorized_official_telephone_number": "773-576-3100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.