WHITE OAKS RETIREMENT RESIDENCE, INC (NPI# 1003244773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003244773 |
Entity Type | Organization |
Organization Name | WHITE OAKS RETIREMENT RESIDENCE, INC |
Other Organization Name | WHITE OAKS ASSISTED LIVING |
Practice Address |
300 White Oak Rd Lawton MI 49065-9541 |
Practice Telephone | 2696244811 |
Mailing Telephone | 2696244811 |
Enumeration Date | 2013-10-16 |
Last Update Date | 2013-10-16 |
Authorized Official Name | MR. CHARLES RANDALL (OWNER) |
Authorized Official Telephone | 2696244841 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 311500000X | Alzheimer Center (Dementia Center) | AL800315839 | MI | Nursing & Custodial Care Facilities |
Y | 310400000X | Assisted Living Facility | AL800315841 | MI | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
White Oaks Assisted Living | Doing Business As Name - Organization |
Street Address |
300 WHITE OAK RD |
City | LAWTON |
State | MI |
Zip Code | 49065-9541 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326253824 | Tomi Lynn Haas | Technician, Other | 350 N.main St, Lawton, MI 49065 | 2007-05-10 |
1104291996 | Patricia Ann Hinckley | Counselor | 71125 26th St, Lawton, MI 49065-5608 | 2015-12-05 |
1275032807 | Michigan Therapy Center | Counselor | 60565 Springhaven Ct, Lawton, MI 49065-7687 | 2018-02-09 |
1164976122 | Jenna Maury | Technician, Other | 26544 66th Ave, Lawton, MI 49065-8504 | 2016-08-08 |
1992154439 | Jamie Barnett | Home Health Aide | 210 Morrill St, Lawton, MI 49065-8722 | 2016-06-06 |
1720494529 | Shelby Chopp | Pharmacist | 64670 Windrose Way, Lawton, MI 49065-9238 | 2014-07-01 |
1639487796 | Jeffrey Robert Stull | Pharmacist | 350 N Main St, Lawton, MI 49065-9249 | 2010-09-22 |
1851317820 | Stacey Ann Bennett | Pharmacist | 350 N Main St, Lawton, MI 49065-9249 | 2006-07-14 |
1609030162 | Sandy J Waite | Social Worker | 34010 88th Ave, Lawton, MI 49065-9302 | 2008-07-14 |
1275864464 | Robin Edward Feringa | Radiologic Technologist | 76181 33rd St, Lawton, MI 49065-9343 | 2010-01-27 |
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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 |
---|---|---|---|---|
1164648572 | Char Mac Assisted Living | Assisted Living Facility | 200 E Char Mac Dr, Lawton, IA 51030-8171 | 2007-04-17 |
1992270714 | Abilit Holdings (lawton), LLC | Assisted Living Facility | 200 E Char Mac Dr, Lawton, IA 51030-8171 | 2018-10-08 |
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1346857174 | Baruch Sls, Inc. | Assisted Living Facility | 1311 Southwestern Dr, Tecumseh, MI 49286-1233 | 2020-09-25 |
1427665439 | Baruch Sls, Inc. | Assisted Living Facility | 301 N Quick St, Blissfield, MI 49228-1051 | 2020-09-24 |
1295341956 | Comfort Home of Bloomfield Inc | Assisted Living Facility | 6372 Tutbury Ln, Troy, MI 48098-2151 | 2020-09-18 |
1306451679 | Traditions At Rivertown Park, LLC | Assisted Living Facility | 3555 Copper River Ave Sw, Wyoming, MI 49418-9791 | 2020-09-13 |
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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.