WHITE OAKS ASSISTED LIVING (NPI# 1275040685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275040685 |
| Entity Type | Organization |
| Organization Name | WHITE OAKS ASSISTED LIVING |
| Practice Address |
140 Professional Place White Oaks Bridgeport WV 26330 |
| Practice Telephone | 3046857211 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |
| Authorized Official Name | MR. JOHN MANCHIN III (OWNER) |
| Authorized Official Telephone | 3042901526 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
140 PROFESSIONAL PLACE WHITE OAKS |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| 1033470786 | David Daryl Vaught | Skilled Nursing Facility | Rr 5 Box 108-c, Bridgeport, WV 26330 | 2012-05-30 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659508208 | Scc Partners, Inc. | Assisted Living Facility | 2106 15th St, Bridgeport, TX 76426-2073 | 2009-06-22 |
| 1730301870 | Maplewood | Assisted Living Facility | 1000 South Maplewood Drive, Bridgeport, WV 26330 | 2007-05-02 |
| 1295777902 | West 380 Nursing Center | Assisted Living Facility | 2108 15th St, Bridgeport, TX 76426 | 2006-06-10 |
| 1114469046 | Pmg Opco-bridgeport LLC | Assisted Living Facility | 2106 15th St, Bridgeport, TX 76426-2073 | 2016-11-09 |
| 1043429301 | Bridgeport Senior Living, LLC | Assisted Living Facility | Rr 4 Box 17, Bridgeport, WV 26330-9509 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049175 | Devonshire Al Operations, LLC | Assisted Living Facility | 5 Bexley Dr, Scott Depot, WV 25560-4504 | 2020-09-24 |
| 1073099073 | Greenwich Investors Cedar Grove Operator LLC | Assisted Living Facility | 110 Nicolette Rd, Parkersburg, WV 26104-7241 | 2018-07-13 |
| 1225526650 | Jonathan and Blessing LLC | Assisted Living Facility | 5312 Morning Dove Ln, Charleston, WV 25313-1154 | 2018-05-01 |
| 1396155487 | Jay Wyn LLC | Assisted Living Facility | 608 North 10th Street, Weirton, WV 26062 | 2014-04-29 |
| 1689084790 | Jay Wyn L.l.c | Assisted Living Facility | 610 North 10th Street, Weirton, WV 26062 | 2014-04-29 |
| 1801211701 | Genesis | Assisted Living Facility | 934 S Fayette St, Beckley, WV 25801-6549 | 2014-02-28 |
| 1538427075 | Windy Hill Village | Assisted Living Facility | 17024 Veterans Memorial Hwy, Kingwood, WV 26537-8013 | 2012-05-02 |
| 1790069656 | Grayson Assisted Living Facility | Assisted Living Facility | 25 Old Trl, 3455 St Rt 75, Huntington, WV 25704-9281 | 2011-10-10 |
| 1164620902 | Braley Care Homes Inc | Assisted Living Facility | 2619 Knox Ave, Saint Albans, WV 25177-2130 | 2007-07-03 |
| 1063562288 | Mullens Manor, Inc | Assisted Living Facility | 1238a Guyandotte Ave, Mullens, WV 25882-1014 | 2007-01-11 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
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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.