WHITE OAK DIVINE OPCO LLC
NPI 1780472597
Skilled Nursing Facility in Toledo, OH

Active since April 30, 2025
4420 SOUTH AVE, TOLEDO, OH 43615(330) 620-7828 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About White Oak Divine Opco Llc NPPES

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

WHITE OAK DIVINE OPCO LLC (NPI 1780472597) is a healthcare organization registered as a skilled nursing facility in Toledo, Ohio and active in the NPI registry since April 2025. The organization lists Jeffrey Degyansky, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1780472597
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWHITE OAK DIVINE OPCO LLC
Location Address4420 SOUTH AVEToledo, OH 43615-6417
Mailing Address5915 Landerbrook Dr Ste 350Mayfield Heights, OH 44124-4063
Organization SubpartNo
Authorized OfficialJeffrey DegyanskyChief Operating Officer · (330) 620-7828
Enumeration DateApril 30, 2025
NPPES CertifiedApril 30, 2025
NPI 1780472597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
4420 SOUTH AVE, Toledo, OH 43615

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Gerontology)
4420 SOUTH AVE
TOLEDO, OH 43615
Skilled Nursing Facility
4420 SOUTH AVE
TOLEDO, OH 43615
Nurse Practitioner (Family)
4420 SOUTH AVE
TOLEDO, OH 43615
Skilled Nursing Facility
4420 SOUTH AVE
TOLEDO, OH 43615
Skilled Nursing Facility
4420 SOUTH AVE
TOLEDO, OH 43615

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 Divine Opco LLC's NPI number?

The NPI number for White Oak Divine Opco LLC is 1780472597. It was assigned to this organization in the NPPES registry on April 30, 2025.

Where is White Oak Divine Opco LLC located?

White Oak Divine Opco LLC is located at 4420 South Ave, Toledo, OH 43615. The listed phone number is (330) 620-7828.

What is White Oak Divine Opco LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for White Oak Divine Opco LLC was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.