WHITE OAK MANOR INC (NPI# 1659406668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659406668 |
| Entity Type | Organization |
| Organization Name | WHITE OAK MANOR INC |
| Other Organization Name | WHITE OAK MANOR COLUMBIA |
| Practice Address |
3001 Beechaven Rd Columbia SC 29204-2701 |
| Mailing Address |
Po Box 3347 Spartanburg SC 29304-3347 |
| Practice Telephone | 8037824363 |
| Practice Fax Number | 8037824366 |
| Mailing Telephone | 8037824363 |
| Mailing Fax Number | 8037824366 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-11-05 |
| Authorized Official Name | MR. DAVID JOE HANEY (VP FINANCE) |
| Authorized Official Telephone | 8643271162 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NCF-886 | SC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 0461NH | 05 | |
| SC | NSC MEDICARE ID-PTAN | 5288330001 | 01 |
| Other Name | Type Code |
|---|---|
| White Oak Manor Columbia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730214768 | White Oak Manor Inc | Skilled Nursing Facility | 400 Webber Rd, Spartanburg, SC 29307-2400 | 2007-02-22 |
| 1689709693 | White Oak Manor Inc | Skilled Nursing Facility | 2555 Kinard St, Newberry, SC 29108-2954 | 2007-02-22 |
| 1457486474 | White Oak Manor Inc | Skilled Nursing Facility | 1915 Ebenezer Rd, Rock Hill, SC 29732-1013 | 2007-02-22 |
| 1023143062 | White Oak Manor Inc | Skilled Nursing Facility | 111 S Congress St, York, SC 29745-1836 | 2007-02-22 |
| 1073648002 | White Oak Manor Inc | Skilled Nursing Facility | 253 Craig Manor Rd, Lancaster, SC 29720-6531 | 2007-02-22 |
| 1598890519 | White Oak Manor Inc | Skilled Nursing Facility | 9285 Medical Plaza Dr, Charleston, SC 29406-9126 | 2007-02-22 |
| 1245375419 | White Oak Manor Inc | Skilled Nursing Facility | 295 E Pearl St, Spartanburg, SC 29303-3606 | 2007-02-21 |
| Street Address |
3001 BEECHAVEN RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699130559 | Jo Ann Lavender | Speech-Language Pathologist | 3001 Beechaven Rd, Columbia, SC 29204-2701 | 2015-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| 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. |
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| 1578088183 | Columbia Post Acute, LLC | Skilled Nursing Facility | 3535 Berrywood Dr, Columbia, MO 65201-6584 | 2017-08-04 |
| 1245786482 | Nhc-maury Regional Transitional Care Center LLC | Skilled Nursing Facility | 5010 Trotwood Ave, Columbia, TN 38401-4903 | 2016-08-28 |
| 1427436328 | Susquehanna Operator, LLC | Skilled Nursing Facility | 745 Old Chiques Hill Rd, Columbia, PA 17512-8401 | 2015-05-12 |
| 1356651772 | 2nd Generation Healthcare, LLC | Skilled Nursing Facility | 11 Pecan Drive, Columbia, MS 39429 | 2010-10-19 |
| 1013231794 | The Oaks of Blythewood, Inc. | Skilled Nursing Facility | 1075 Heather Green Drive, Columbia, SC 29229-0000 | 2010-03-24 |
| 1134455991 | Julie Williams | Skilled Nursing Facility | 3 Eagle Crest Court, Columbia, IL 62236 | 2009-10-28 |
| 1487836656 | Columbia Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 1506 N Main St, Columbia, MS 39429-2070 | 2007-11-29 |
| 1457483398 | Dorn Veterans Hospital | Skilled Nursing Facility | 3509 Lake Ave Apt 2132, Columbia, SC 29206-5111 | 2007-03-09 |
| 1205961810 | Dynamic Columbia Operating Company LLC | Skilled Nursing Facility | 1506 North Main Street, Columbia, MS 39429-2070 | 2007-02-22 |
| 1952498149 | Thi of South Carolina At Columbia, LLC | Skilled Nursing Facility | 1007 N Kings Way, Columbia, SC 29223-1916 | 2006-10-07 |
| Find all providers in COLUMBIA | ||||
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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.