OrganizationActive
White Oak Divine Opco LLC
NPI 1780472597 · Skilled Nursing Facility · Toledo, OH
White Oak Divine Opco LLC is a Skilled Nursing Facility organization in Toledo, OH (NPI 1780472597).
Provider details
- NPI number
- 1780472597
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Degyansky, Chief Operating Officer(330) 620-7828
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4420 South Ave
Toledo, OH 43615-6417
Phone: (330) 620-7828
Street-level locationGet directions
Mailing address
5915 Landerbrook Dr Ste 350
Mayfield Heights, OH 44124-4063
Registry dates
- Enumerated
- 2025-04-30
- Last updated
- 2025-04-30
- Certified
- 2025-04-30
Frequently asked questions
- What is White Oak Divine Opco LLC's NPI number?
- White Oak Divine Opco LLC's National Provider Identifier (NPI) is 1780472597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is White Oak Divine Opco LLC?
- White Oak Divine Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is White Oak Divine Opco LLC located?
- White Oak Divine Opco LLC's practice location on file with NPPES is 4420 South Ave, Toledo, OH 43615-6417.
- What is White Oak Divine Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for White Oak Divine Opco LLC is (330) 620-7828.
- Who is the authorized official for White Oak Divine Opco LLC?
- The authorized official listed on White Oak Divine Opco LLC's NPPES record is Jeffrey Degyansky, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is White Oak Divine Opco LLC's NPI active?
- Yes — White Oak Divine Opco LLC's NPI (1780472597) is active in the NPPES registry as of the last update on 2025-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.