NPIMap

Organization Active NPI

White Oak Manor Inc

  • Skilled Nursing Facility
  • Spartanburg, SC
National Provider Identifier
1730214768
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCF-888 Issued in SC
Legal business name
WHITE OAK MANOR INC
Practice address
400 Webber Rd
Spartanburg, SC 29307-2400
Phone
(864) 579-7004
Fax
(864) 579-7714
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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 NCF-888 SC Primary

Addresses

Primary practice location

400 Webber Rd
Spartanburg, SC 29307-2400

Mailing address

PO Box 3347
Spartanburg, SC 29304-3347
Phone (864) 579-7004

Other identifiers 2

IdentifierTypeStateIssuer
5246670001OtherSCNSC MEDICARE ID-PTAN
0466NHMedicaidSC

Other names 1

  • White Oak Estates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091204000251 SC Part A Provider - Skilled Nursing Facility 3173511458 Practice locations: Spartanburg, SC

Skilled nursing facility certification: CCN 425290

Legal name
WHITE OAK MANOR INC
Doing business as
WHITE OAK ESTATES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 27, 1989
Last certification
Jan 9, 2025
Beds
88
Ownership / control type
Corporation
Multi-facility organization
National HealthCare Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 1, 2002 in SC
Enrollment address
400 Webber Road
Spartanburg, SC 29307-2400

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 EstatesCCN 425290
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 27, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8879.6 residents per day on average
Penalties (3 years)
1Fines totaling $8,827

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0892918White Oak Estates, Inc400 Webber Rd, Spartanburg, SC 29307Certificate of waiverOct 10, 2026
42D1018269White Oak Estates Assisted Living, Inc400 Webber Road, Spartanburg, SC 29307Certificate of waiverOct 16, 2027

National Provider Directory

National Provider Directory

Member of 6

Organizations this organization is a member of, according to the National Provider Directory.

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 Jul 1, 2009 5%
Dorothy D Cecil Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 21%
Corporate DirectorBoard Member Jul 1, 2009 5%
White Oak Management, Inc. Organization, Spartanburg, SC Operational/Managerial Control Nov 16, 2009
White Oak Manor Inc Organization, Spartanburg, SC 5% Or Greater Direct Ownership Interest Nov 16, 2009
Emma Bowers Individual W-2 Managing EmployeeAdministrator Apr 17, 2023 25%
Oliver K Cecil Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 18%
Corporate OfficerCeo Aug 20, 2012 5%
Corporate DirectorBoard Member Jul 1, 2009 5%
Beth C Cecil Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 21%
Corporate DirectorBoard Member Jul 1, 2009 5%
Douglas M Cecil Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 19%
Corporate OfficerPresident Aug 20, 2012 5%
Corporate DirectorBoard Member Jul 1, 2009 5%
David J Haney Individual W-2 Managing Employee Nov 16, 2009
Kurtis Jon Melin Individual Contracted Managing EmployeeMedical Director Feb 28, 2024 5%
John P Barber Individual Corporate Director Nov 16, 2009
W-2 Managing Employee Nov 16, 2009

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 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
White Oak at North Grove IncSpartanburg, SC, CCN 425408 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 2, 2015

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 1

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1730214768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3347",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293043347",
            "telephone_number": "864-579-7004",
            "fax_number": "864-579-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEBBER RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293072400",
            "telephone_number": "864-579-7004",
            "fax_number": "864-579-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-11-05",
        "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": "SC",
            "license": "NCF-888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC MEDICARE ID-PTAN",
            "identifier": "5246670001",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0466NH",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Oak Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.