WHITE OAK MANOR INC (NPI# 1023143062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023143062 |
| Entity Type | Organization |
| Organization Name | WHITE OAK MANOR INC |
| Other Organization Name | WHITE OAK MANOR YORK |
| Practice Address |
111 S Congress St York SC 29745-1836 |
| Mailing Address |
Po Box 3347 Spartanburg SC 29304-3347 |
| Practice Telephone | 8036840035 |
| Practice Fax Number | 8036840078 |
| Mailing Telephone | 8036840035 |
| Mailing Fax Number | 8036840078 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-11-05 |
| Authorized Official Name | MR. DAVID JOE HANEY (VP FINANCE) |
| Authorized Official Telephone | 8643271162 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 0565NH | 05 | |
| SC | NSC MEDICARE ID-PTAN | 52162400001 | 01 |
| Other Name | Type Code |
|---|---|
| White Oak Manor York | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730214768 | White Oak Manor Inc | Skilled Nursing Facility | 400 Webber Rd, Spartanburg, SC 29307-2400 | 2007-02-22 |
| 1689709693 | White Oak Manor Inc | Skilled Nursing Facility | 2555 Kinard St, Newberry, SC 29108-2954 | 2007-02-22 |
| 1457486474 | White Oak Manor Inc | Skilled Nursing Facility | 1915 Ebenezer Rd, Rock Hill, SC 29732-1013 | 2007-02-22 |
| 1659406668 | White Oak Manor Inc | Skilled Nursing Facility | 3001 Beechaven Rd, Columbia, SC 29204-2701 | 2007-02-22 |
| 1073648002 | White Oak Manor Inc | Skilled Nursing Facility | 253 Craig Manor Rd, Lancaster, SC 29720-6531 | 2007-02-22 |
| 1598890519 | White Oak Manor Inc | Skilled Nursing Facility | 9285 Medical Plaza Dr, Charleston, SC 29406-9126 | 2007-02-22 |
| 1245375419 | White Oak Manor Inc | Skilled Nursing Facility | 295 E Pearl St, Spartanburg, SC 29303-3606 | 2007-02-21 |
| Street Address |
111 S CONGRESS ST |
| City | YORK |
| State | SC |
| Zip Code | 29745-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568024933 | Taylor Kriley | Speech-Language Pathologist | 111 S Congress St, York, SC 29745-1836 | 2019-07-05 |
| 1386139210 | Susan Melinda Dover | Physical Therapist | 111 S Congress St, York, SC 29745-1836 | 2018-06-23 |
| 1912383035 | Allyson Jelenek | Occupational Therapist | 111 S Congress St, York, SC 29745-1836 | 2015-07-31 |
| 1770977613 | Nikolay Korneychuk | Student in an Organized Health Care Education/Training Program | 111 S Congress St, York, SC 29745-1836 | 2015-03-27 |
| 1316359904 | Beth D Kophazi | Speech-Language Pathologist | 111 S Congress St, York, SC 29745-1836 | 2014-05-29 |
| 1205068764 | Olga Weeks | Physical Therapist | 111 S Congress St, York, SC 29745-1836 | 2009-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218244 | Amanda Sue Hardy | Massage Therapist | Amanda Hardy, 423 Kelly Rd, York, SC 29745 | 2020-09-03 |
| 1891290573 | Deborah Len Carnes | Pharmacist | 1007 Creekside Medical Dr, York, SC 29745 | 2018-03-26 |
| 1316313810 | Fc Midlands York, LLC | Assisted Living Facility | 40 Ross Cannon Street, York, SC 29745 | 2015-08-19 |
| 1922300508 | Walgreens Pharmacy | Pharmacist | 887 East Liberty Street, York, SC 29745 | 2010-12-02 |
| 1649599747 | Sherita Featherstone Davis | Counselor | 234 Kings Mountain Road, York, SC 29745 | 2010-05-28 |
| 1306099312 | Pmc Physician Network, L.L.C. | Family Medicine | 1795 Devinney Rd, York, SC 29745 | 2008-11-04 |
| 1215077433 | Alfred Casburn Johnson Jr. | Dentist | 1306 Old Fairhope Ct, York, SC 29745 | 2007-02-07 |
| 1104994938 | Ph & F Inc | Pharmacy | 1007 Creekside Medical Drive, York, SC 29745 | 2006-12-01 |
| 1407935315 | Nora Sue Roy | Social Worker | 212 East Jefferson St, York, SC 29745 | 2006-11-02 |
| 1508963927 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 1440 Alexander Love Highway, York, SC 29745 | 2006-09-20 |
| Find all providers in zip 29745 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265556476 | Karen Turner | Skilled Nursing Facility | 507 Wild Pine Ln, York, SC 29745-8136 | 2007-03-16 |
| 1023194669 | York General Hospital | Skilled Nursing Facility | 2600 N Lincoln Ave, York, NE 68467 | 2006-10-27 |
| 1912011446 | Spiritrust Lutheran | Skilled Nursing Facility | 1801 Folkemer Cir, York, PA 17404-1771 | 2006-08-19 |
| 1770530354 | Manor Care of York Pa (north) LLC | Skilled Nursing Facility | 1770 Barley Rd, York, PA 17408-2223 | 2006-05-28 |
| 1679520266 | Manor Care of York Pa (south) LLC | Skilled Nursing Facility | 200 Pauline Dr, York, PA 17402-4625 | 2006-05-28 |
| 1215984935 | Manor Care-kingston Court of York Pa LLC | Skilled Nursing Facility | 2400 Kingston Ct, York, PA 17402-3650 | 2006-05-28 |
| 1497702260 | Sumter Health and Rehabilitation, LLC | Skilled Nursing Facility | 1505 E 4th Ave, York, AL 36925-2940 | 2006-05-27 |
| 1851382014 | York County Cerebral Palsy Home, Inc | Skilled Nursing Facility | 2050 Barley Rd, York, PA 17404-1557 | 2005-11-04 |
| 1346238672 | Hes Inc | Skilled Nursing Facility | 1050 S George St, York, PA 17403-3638 | 2005-10-11 |
| 1700870920 | Misericordia Convalescent Home | Skilled Nursing Facility | 998 S Russell St, York, PA 17402-3542 | 2005-09-02 |
| Find all providers in YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.