Provider Demographics
| NPI: | 1538287099 |
|---|---|
| Name: | WHISPERING OAKS HEALTH CARE, INC. |
| Entity type: | Organization |
| Organization Name: | WHISPERING OAKS HEALTH CARE, INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | ERIC |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | FINK |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 636-256-7700 |
| Mailing Address - Street 1: | 1450 CHARIC DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | WILDWOOD |
| Mailing Address - State: | MO |
| Mailing Address - Zip Code: | 63021-2001 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 636-256-7700 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1450 CHARIC DR |
| Practice Address - Street 2: | |
| Practice Address - City: | WILDWOOD |
| Practice Address - State: | MO |
| Practice Address - Zip Code: | 63021-2001 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 636-256-7700 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-03-26 |
| Last Update Date: | 2020-08-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| MO | 013906 | 251E00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 251E00000X | Agencies | Home Health |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| MO | 2667167802 | Medicaid |