Healthcare Provider Details

I. General information

NPI: 1083545180
Provider Name (Legal Business Name): WHITE OAK OPERATING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4420 SOUTH AVE
TOLEDO OH
43615-6417
US

IV. Provider business mailing address

199 COMMUNITY DR
GREAT NECK NY
11021-5502
US

V. Phone/Fax

Practice location:
  • Phone: 419-531-4201
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: SORAH BLEIER
Title or Position: AUTHORIZED SIGNATORY
Credential:
Phone: 516-680-7409