White Oak Manor Charlotte

LBN: White Oak Manor Charlotte Inc
White Oak Manor Charlotte is an health care organization with primary practice located at 4009 Craig Ave , Charlotte NC 28211-2505. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. White Oak Manor Charlotte Inc can be contacted via phone (704) 365-2620, or through Haney, David Joe via phone (864) 327-1162.

Contact Information

Primary practice address
4009 Craig Ave Charlotte NC 28211-2505
Phone: (704) 365-2620
Fax: (704) 365-2624
Website:
Map and Directions
Authorized official contact:
Name: Haney, David Joe
Phone: (864) 327-1162

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH0350 North Carolina

Profile Details

NPI number 1366577355
LBN Legal business name White Oak Manor Charlotte Inc
DBA Doing business as White Oak Manor Charlotte
Authorized official Haney, David Joe
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Nov 19th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366577355 NPPES
North Carolina MEDICAID 3415238
North Carolina MEDICAID 3416283

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