White Oaks Nursing Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

2927851 Issued in NY

Legal business name

WHITE OAKS NURSING HOME

Practice address

57 Andrews Ave
Wyandanch, NY 11798-2333

Phone

(631) 920-2964

NPI assigned

Aug 3, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Noemie UlysseNPI 1053662916

Title

LPN

Phone

(631) 920-2964

Specialties & licenses 1

Addresses

Other names 1

• Berkshire nursing home Other name

Practitioners 1

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

• Noemie Ulysse

  • Licensed Practical Nurse
  • Wyandanch, NY
  • NPI 1053662916
  NPD (past) Authorized official

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1669729000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 ANDREWS AVE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117982333",
            "telephone_number": "631-920-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 ANDREWS AVE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117982333",
            "telephone_number": "631-920-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAKS NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "ULYSSE",
        "authorized_official_first_name": "NOEMIE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "631-920-2964",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "2927851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkshire nursing home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Farah Munawar Walele
• Evelina Walker, LCSW
• Ann Marie Wallace
• Elleni Waring
• Way2Gotransportcorp
• Cavelle Williams
• Debbie-Ann Williams, LPN
• Keisha Ann Monique Williams, PNP
• Wyandanch Pharmacy Inc
• Wyandanch Pharmacy Inc

• Adult Care Home Facility in Wyandanch, NY
• Providers in Wyandanch, NY by specialty
• Adult Care Home Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.