White Oak Manor Rock Hill
LBN: White Oak Manor Inc
White Oak Manor Rock Hill is an health care organization with primary practice located at 1915 Ebenezer Rd , Rock Hill SC 29732-1013. 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 Inc can be contacted via phone (803) 366-8155, or through Haney, David Joe via phone (864) 327-1162.
Contact Information
Primary practice address
1915 Ebenezer Rd
Rock Hill SC 29732-1013
Phone: (803) 366-8155
Fax: (803) 366-8158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | NCF-885 | South Carolina |
Profile Details
| NPI number | 1457486474 |
|---|---|
| LBN Legal business name | White Oak Manor Inc |
| DBA Doing business as | White Oak Manor Rock Hill |
| Authorized official | Haney, David Joe |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Nov 5th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457486474 | NPPES |
| South Carolina | Other | 5260320001 | NSC MEDICARE ID-PTAN |
| South Carolina | MEDICAID | 0459NH | NSC MEDICARE ID-PTAN |
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