Provider Demographics
NPI:1952439879
Name:WHITE OAK ASSISTED LIVING, LLC
Entity Type:Organization
Organization Name:WHITE OAK ASSISTED LIVING, LLC
Other - Org Name:SUNRISE OF SILVER SPRING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-625-2103
Mailing Address - Street 1:11621 NEW HAMPSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2731
Mailing Address - Country:US
Mailing Address - Phone:301-625-8655
Mailing Address - Fax:301-625-2475
Practice Address - Street 1:11621 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2731
Practice Address - Country:US
Practice Address - Phone:301-625-8655
Practice Address - Fax:301-625-2475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15AL0227310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility