WHITE OAK MANOR
NPI 1205224128
Skilled Nursing Facility in Warren, OH
About White Oak Manor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHITE OAK MANOR (NPI 1205224128) is a healthcare organization registered as a skilled nursing facility in Warren, Ohio and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists William Hetrick, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 36D0723934
White Oak · Warren, OHOther Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is White Oak Manor's NPI number?
The NPI number for White Oak Manor is 1205224128. It was assigned to this organization in the NPPES registry on December 30, 2014.
Where is White Oak Manor located?
White Oak Manor is located at 1926 Ridge Ave SE, Warren, OH 44484. The listed phone number is (330) 369-4672.
What is White Oak Manor's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does White Oak Manor hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D0723934) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for White Oak Manor was last updated on December 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.