WHITE OAK MANOR CHARLOTTE
NPI 1366577355
Skilled Nursing Facility in Charlotte, NC

Active since February 22, 2007CLIA 34D0684547 · Waiver
3/5
Overall Rating
4009 CRAIG AVE, CHARLOTTE, NC 28211(704) 365-2620(704) 365-2624 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About White Oak Manor Charlotte NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITE OAK MANOR CHARLOTTE (NPI 1366577355) is a healthcare organization registered as a skilled nursing facility in Charlotte, North Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists David Joe Haney, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1366577355
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWHITE OAK MANOR CHARLOTTE INC
Location Address4009 CRAIG AVECharlotte, NC 28211-2505
Mailing Address4009 Craig AveCharlotte, NC 28211-2505 · (704) 365-2620 · Fax (704) 365-2624
Fax(704) 365-2624
Organization SubpartYesParent: White Oak Manor Inc
Authorized OfficialDavid Joe HaneyVp Finance · (864) 327-1162
Enumeration DateFebruary 22, 2007
Last NPPES UpdateNovember 19, 2007
NPI 1366577355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NC · NH0350
Definition
(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.
4009 CRAIG AVE, Charlotte, NC 28211

Other Names 1

Doing Business AsWhite Oak Manor Charlotte

Other Identifiers 4

Medicare NSC5251090001NC
Medicaid3416283NC
Medicaid3415238NC
Medicare ID-Type Unspecified34-5238NC · Medicare

Accepted Insurance

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 34D0684547

Nhc Healthcare/ Charlotte, Uc Dba White Oak Manor Charlotte · Charlotte, NC
Active · expires Aug 31, 2026
CLIA Number34D0684547
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorHawa Sesay
Laboratory Phone(704) 365-2620
Laboratory LocationNhc Healthcare/ Charlotte, Uc Dba White Oak Manor Charlotte4009 Craig Avenue, Charlotte, NC 28211
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for White Oak Manor - Charlotte (CMS certification number 345238), from CMS Care Compare.

White Oak Manor - Charlotte

Nursing home · Charlotte, NC
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number345238
Certified Beds180 beds139 residents per day on average
Medicare & Medicaid Participant SinceNovember 15, 1983
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
26
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.29 · LPN 1 · RN 0.38
3.67 hrs per resident per day
Weekend Nurse Staffing
3.28 hrs per resident per day
Physical Therapist Staffing
0.05 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
60.1%
Registered Nurse Turnover
11.1%
Administrators Who Have Left
In the past year.
2
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
9
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
4009 CRAIG AVE
CHARLOTTE, NC 28211
Occupational Therapist
4009 CRAIG AVE
CHARLOTTE, NC 28211
Occupational Therapist
4009 CRAIG AVE
CHARLOTTE, NC 28211
Physical Therapist
4009 CRAIG AVE
CHARLOTTE, NC 28211
Occupational Therapy Assistant
4009 CRAIG AVE
CHARLOTTE, NC 28211
Occupational Therapist
4009 CRAIG AVE
CHARLOTTE, NC 28211
Skilled Nursing Facility
4009 CRAIG AVE
CHARLOTTE, NC 28211
Speech-Language Pathologist
4009 CRAIG AVE
CHARLOTTE, NC 28211

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 Charlotte Inc's NPI number?

The NPI number for White Oak Manor Charlotte Inc is 1366577355. It was assigned to this organization in the NPPES registry on February 22, 2007. The provider is doing business as White Oak Manor Charlotte.

Where is White Oak Manor Charlotte Inc located?

White Oak Manor Charlotte Inc is located at 4009 Craig Ave, Charlotte, NC 28211. The listed phone number is (704) 365-2620.

What is White Oak Manor Charlotte Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does White Oak Manor Charlotte Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0684547) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is White Oak Manor Charlotte Inc a Medicare-certified nursing home?

Yes. White Oak Manor - Charlotte is a Medicare-certified nursing home with 180 certified beds.

What quality rating does White Oak Manor Charlotte Inc have?

CMS rates White Oak Manor - Charlotte 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does White Oak Manor Charlotte Inc accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Blue Cross and Blue Shield of NC list White Oak Manor Charlotte Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for White Oak Manor Charlotte Inc was last updated on November 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.