FRIENDSHIP HEALTH AND REHAB CENTER, INC. (NPI# 1417954140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417954140 |
| Entity Type | Organization |
| Organization Name | FRIENDSHIP HEALTH AND REHAB CENTER, INC. |
| Other Organization Name | FRIENDSHIP MANOR, INC. |
| Practice Address |
327 Hershberger Rd Roanoke VA 24012-1983 |
| Mailing Address |
Po Box 7577 Roanoke VA 24019-0577 |
| Practice Telephone | 5402652100 |
| Mailing Telephone | 5402652185 |
| Mailing Fax Number | 5402652051 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2014-12-29 |
| Authorized Official Name | MR. C. MIKE SHANNON (CFO) |
| Authorized Official Telephone | 5407774044 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 314000000X | Skilled Nursing Facility | NH2558 | VA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DMERC | 0446070001 | 01 | |
| VA | 49-5044-5 | 05 |
| Other Name | Type Code |
|---|---|
| Friendship Manor, Inc. | Former Legal Business Name - Organization |
| Street Address |
327 HERSHBERGER RD |
| City | ROANOKE |
| State | VA |
| Zip Code | 24012-1983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899711 | Shafagh Ganjikia | Occupational Therapist | 327 Hershberger Rd, Roanoke, VA 24012-1956 | 2020-01-03 |
| 1740838218 | Stephanie Ann Bryant | Physical Therapy Assistant | 327 Hershberger Rd, Roanoke, VA 24012-1956 | 2019-08-28 |
| 1336797893 | Ashley Myers | Occupational Therapist | 327 Hershberger Rd, Roanoke, VA 24012-1956 | 2019-08-28 |
| 1093363889 | Tessley Marshall | Speech-Language Pathologist | 327 Hershberger Rd, Roanoke, VA 24012-1956 | 2019-08-27 |
| 1104474832 | Rachael Greene | Physical Therapy Assistant | 327 Hershberger Rd, Roanoke, VA 24012-1956 | 2019-08-27 |
| 1477101087 | Alicia Erin Nelson | Occupational Therapist | 327 Hershberger Rd, Roanoke, VA 24012-1956 | 2019-08-27 |
| 1477109437 | Brittany Mitchell | Chiropractor | 327 Hershberger Rd, Roanoke, VA 24012-1956 | 2019-08-15 |
| 1235783796 | Timothy M. Schmidt | Physical Therapist | 327 Hershberger Rd, Roanoke, VA 24012 | 2019-08-01 |
| 1356860183 | Friendship Pharmacy, Inc. | Pharmacy | 327 Hershberger Rd, Roanoke, VA 24012 | 2017-09-13 |
| 1154308971 | Friendship Pharmacy Inc | Pharmacy | 327 Hershberger Rd, Roanoke, VA 24012-1956 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215440359 | Sahar Rafiq | Dentist | 3802 Apricot Trl, Roanoke, VA 24012 | 2017-11-12 |
| 1790202695 | Friendship Pharmacy, Inc. | Pharmacy | 327 Hershberger Rd., Roanoke, VA 24012 | 2017-08-23 |
| 1760912901 | Odyssey Healthcare Operating B, Lp | Hospice Care, Community Based | 1318 Plantation Rd Ne, Roanoke, VA 24012 | 2017-06-19 |
| 1770019622 | Eisa Jawad Abu Munshar | Dentist | 4753 Valley View Blvd Nw, Roanoke, VA 24012 | 2017-05-11 |
| 1447702303 | Kartesz Eye Associates Inc. | Optometrist | 4922 Vally View Blvd., Roanoke, VA 24012 | 2016-10-26 |
| 1740638220 | Kevin E Steinberger | Physical Therapist | 2730 Forest Oak Dr, Roanoke, VA 24012 | 2016-05-25 |
| 1740637883 | Professional Health Care Services, Inc. | In Home Supportive Care | 367 Hershberger Rd., Nw, Roanoke, VA 24012 | 2016-05-18 |
| 1497129787 | M Zaher Aymach | Dentist | 1502 Williamson Rd Ne Ste A, Roanoke, VA 24012 | 2015-11-24 |
| 1518223916 | Katherine Rash | Social Worker | 3003 Hollins Road, Roanoke, VA 24012 | 2012-04-10 |
| 1841525383 | William Kastern, O.d., Ph.d., LLC | Optometrist | 4822c Valley View Blvd., Roanoke, VA 24012 | 2009-10-15 |
| Find all providers in zip 24012 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346616422 | Friendship Health and Rehab Center South Inc | Skilled Nursing Facility | 5647 Starkey Rd, Roanoke, VA 24018-9034 | 2015-08-12 |
| 1558444505 | Avante At Roanoke, Inc. | Skilled Nursing Facility | 324 King George Ave Sw, Roanoke, VA 24016-5213 | 2006-10-23 |
| 1205918794 | Apostolic Christian Home of Roanoke Illinois Inc. | Skilled Nursing Facility | 1102 W Randolph St, Roanoke, IL 61561-7528 | 2006-10-20 |
| 1245330299 | Our Lady of The Valley, Inc. | Skilled Nursing Facility | 650 N Jefferson St, Roanoke, VA 24016-1427 | 2006-09-22 |
| 1235242322 | Springtree Health Care Center Ltm | Skilled Nursing Facility | 3433 Springtree Dr Ne, Roanoke, VA 24012-6443 | 2006-08-16 |
| 1679686877 | Medical Facilities of America Li | Skilled Nursing Facility | 1527 Grandin Rd Sw, Roanoke, VA 24015-2305 | 2006-08-15 |
| 1295770162 | Virginia Lutheran Homes, Inc. | Skilled Nursing Facility | 3837 Brandon Ave Sw, Roanoke, VA 24018-1441 | 2006-06-17 |
| 1477597227 | Roanoke Healthcare Center LLC | Skilled Nursing Facility | 680 Seymour Dr, Roanoke, AL 36274-1547 | 2006-06-15 |
| 1407897135 | Generation Leasing Company II, LLC | Skilled Nursing Facility | 4355 Pheasant Ridge Rd, Roanoke, VA 24014-5272 | 2006-06-10 |
| 1366493066 | Phoenix Healthcare LLC | Skilled Nursing Facility | 1235 Yancey St, Roanoke, AL 36274-2141 | 2006-05-15 |
| Find all providers in ROANOKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.