White Avenue Health Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WHITE AVENUE HEALTH CARE LLC

Practice address

506 White Ave
Cumberland, MD 21502-3813

Phone

(410) 773-1000

NPI assigned

Aug 17, 2016

Organization subpart

No

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

Authorized official

Name

Kam McGavock

Title

President

Phone

(410) 773-1000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1952856262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 WHITE AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023813",
            "telephone_number": "410-773-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE AVENUE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "MCGAVOCK",
        "authorized_official_first_name": "KAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-773-1000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Westrom, RPH
• Cory Wharton, LGSW
• Rodney Thomas Whetstone, CRNA
• Kathryn D Whitacre, LCSW-C
• McKennah Whitacre
• Nancy White, CRNP
• Christopher Todd Whiteman, MPT
• Roy David Russell Whiteman Jr., MBA PT
• Sean Whittacre
• James Widmyer, LCADC

• Assisted Living Facility in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.