WHITE OAK MANOR KINGS MOUNTAIN INC (NPI# 1033244090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033244090 |
| Entity Type | Organization |
| Organization Name | WHITE OAK MANOR KINGS MOUNTAIN INC |
| Other Organization Name | WHITE OAK MANOR KINGS MOUNTAIN |
| Practice Address |
716 Sipes St Kings Mountain NC 28086-2716 |
| Practice Telephone | 7047398132 |
| Practice Fax Number | 7047398133 |
| Mailing Telephone | 7047398132 |
| Mailing Fax Number | 7047398133 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-11-19 |
| Authorized Official Name | MR. DAVID JOE HANEY (VP FINANCE) |
| Authorized Official Telephone | 8643271162 |
| Is Organization Subpart | Y |
| Parent Organization Name | WHITE OAK MANOR INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0396 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3415151 | 05 | |
| NC | 3416027 | 05 |
| Other Name | Type Code |
|---|---|
| White Oak Manor Kings Mountain | Doing Business As Name - Organization |
| Street Address |
716 SIPES ST |
| City | KINGS MOUNTAIN |
| State | NC |
| Zip Code | 28086-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598298838 | Carly Michelle Cody | Occupational Therapist | 716 Sipes St, Kings Mountain, NC 28086-2716 | 2017-04-04 |
| 1285831966 | Kristin Neely Bradley | Occupational Therapist | 716 Sipes St, Kings Mountain, NC 28086-2716 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609252493 | Mary Elizabeth Mann | Speech-Language Pathologist | 1563 Lewis Farm Rd, Kings Mountain, NC 28086 | 2015-08-04 |
| 1831404847 | Sandra Shuford Satterfield | Nurse Practitioner | 500 Phifer Road, Kings Mountain, NC 28086 | 2010-08-13 |
| 1821317868 | Crawley Memorial Hospital Inc | Long Term Care Hospital | 706 West King Street, Kings Mountain, NC 28086 | 2010-05-28 |
| 1639408248 | Self-determination LLC | Clinic/Center | 103 Ebenezer Rd, Kings Mtn, NC 28086 | 2009-12-09 |
| 1770731515 | Ingles Markets Inc | Pharmacy | 2111 Shelby Rd, Kings Mountain, NC 28086 | 2008-09-05 |
| 1659553832 | Jerry Marvin Utt | Social Worker | 301 East Parker Street, Kings Mountain, NC 28086 | 2007-11-29 |
| 1518087766 | Educare Community Living Corporation - North Carolina | Community/Behavioral Health | 112 Wooding Pl, Kings Mountain, NC 28086 | 2007-03-30 |
| 1093831679 | Mark David Lovelace | Pharmacist | 1114 West Gold Street, Extension, Kings Mountain, NC 28086 | 2007-03-22 |
| 1417016023 | Acrolyst Physician Resources | Internal Medicine | 827 E King Street, Kings Mountain, NC 28086 | 2006-12-08 |
| 1730248865 | Kmeg Resource Corp Pa | Internal Medicine | 827 East King Street, Kings Mtn, NC 28086 | 2006-12-06 |
| Find all providers in zip 28086 | ||||
| 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 |
|---|---|---|---|---|
| 1568554863 | Cleveland County Healthcare System | Skilled Nursing Facility | 706 W Kings Street, Kings Mountain, NC 28086 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063756 | Cary Senior Housing I Opco, LLC | Skilled Nursing Facility | 221 Brightmore Dr, Cary, NC 27518-8145 | 2019-10-04 |
| 1629535455 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 621 Chestnut Ridge Pkwy, Blowing Rock, NC 28605-8962 | 2019-02-28 |
| 1871063214 | Vero Health X, LLC | Skilled Nursing Facility | 417 Cloverdale Rd, Sylva, NC 28779-0679 | 2018-11-28 |
| 1821573809 | Carolina Bay Healthcare Center of Wilmington, LLC | Skilled Nursing Facility | 740 Diamond Shoals Rd, Wilmington, NC 28403-4388 | 2018-09-26 |
| 1093228397 | Bellarose Nursing and Rehab Center, Inc. | Skilled Nursing Facility | 200 Bellarose Lake Way, Garner, NC 27529-7049 | 2017-11-08 |
| 1558872333 | Brunswick Health & Rehab Center, LLC | Skilled Nursing Facility | 9600 No 5 School Rd Nw, Ash, NC 28420-2122 | 2017-10-19 |
| 1538684212 | Eagle Acquisition Vi LLC | Skilled Nursing Facility | 901 S Halstead Blvd., Elizabeth City, NC 27909-6920 | 2017-08-03 |
| 1982130811 | Ashton Health and Rehabilitation, LLC | Skilled Nursing Facility | 5533 Burlington Rd, Mc Leansville, NC 27301-9622 | 2017-05-11 |
| 1831625037 | Supplemental Healthcare | Skilled Nursing Facility | 319 Vancouver Drive, Apartment 38g, Fayetteville, NC 28303 | 2017-05-08 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| Find all providers with the same taxonomy | ||||
| City | KINGS MOUNTAIN |
| Zip Code | 28086 |
Please comment or provide details below to improve the information on WHITE OAK MANOR KINGS MOUNTAIN INC.
| 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.