NPIMap

Organization Active NPI

White Oak Manor Shelby Inc

Doing business as White Oak Manor Shelby

  • Skilled Nursing Facility
  • Shelby, NC
National Provider Identifier
1770618720
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 SHELBY INC
Doing business as
White Oak Manor Shelby
Practice address
401 N Morgan St
Shelby, NC 28150-4434
Phone
(704) 482-7326
Fax
(704) 487-7193
NPI assigned
Feb 22, 2007
Last updated
Nov 19, 2007By the provider in NPPES
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

401 N Morgan St
Shelby, NC 28150-4434

Mailing address

401 N Morgan St
Shelby, NC 28150-4434
Phone (704) 482-7326

Other identifiers 2

IdentifierTypeStateIssuer
3415171MedicaidNC
3416046MedicaidNC

Other names 1

  • White Oak Manor Shelby Doing business as

National Provider Directory

National Provider Directory
Part of
Sharon Village

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1195430400000",
    "number": "1770618720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N MORGAN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504434",
            "telephone_number": "704-482-7326",
            "fax_number": "704-487-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MORGAN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504434",
            "telephone_number": "704-482-7326",
            "fax_number": "704-487-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK MANOR SHELBY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITE OAK MANOR INC",
        "enumeration_date": "2007-02-22",
        "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": "3415171",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416046",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Oak Manor Shelby",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, 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.