WHITE OAK ESTATES INC NPI 1053346619

NPI Information

  • NPI: 1053346619
  • Provider Name: WHITE OAK ESTATES INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 16D1052715
  • Address: 914 N 12TH ST
    OSKALOOSA, IA
    ZIP 52577
  • Phone: (641) 673-4443

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NPI Details

WHITE OAK ESTATES INC is an assisted living facility in Oskaloosa, IA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. WHITE OAK ESTATES INC NPI is 1053346619. The provider is registered as an organization entity type.

The provider's business location address is:

914 N 12TH ST
OSKALOOSA, IA
ZIP 52577-416
Phone: (641) 673-4443
Fax: (641) 672-2522

The provider's authorized official is Clarice Lee Wright .
The authorized official title is Vice President and has the following contact phone number (641) 673-6886.

The CLIA number assigned to this NPI record is 16D1052715 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityS0134IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10447581MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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