White Oak Congregate Living Facility, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WHITE OAK CONGREGATE LIVING FACILITY, LLC

Practice address

9301 White Oak Ave
Northridge, CA 91325-2336

Phone

(818) 885-1135

Fax

(818) 885-1173

NPI assigned

Oct 27, 2015

Organization subpart

No

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

Authorized official

Name

Mia VitteNPI 1699975813

Title

Administrator

Phone

(310) 272-6666

Specialties & licenses 4

Addresses

Practitioners 1

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

• Mia Vitte, MA, MFT

  • Nursing Home Administrator
  • Granada Hills, CA
  • NPI 1699975813
  NPD (past) Authorized official

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1841662038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11847 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442754",
            "telephone_number": "310-272-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 WHITE OAK AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252336",
            "telephone_number": "818-885-1135",
            "fax_number": "818-885-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK CONGREGATE LIVING FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "VITTE",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-272-6666"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CA",
            "license": "550003205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Dental Services, Inc.
• Steliana Magda Westman
• Jennifer L Weston, MD
• Harold Mark Wexler, D.C.
• Isabelle K Whitaker
• Bonny J. White, MFT
• Darby Grace White
• Wholesome Wellness
• Barry Lowell Wilen, M.D.
• Lilly Liping Wilen, M.D.

• Skilled Nursing Facility in Northridge, CA
• Providers in Northridge, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.